1. General Information

KGA’s Young Women’s Empowerment Program (YWEP) is a safe space for young Southeast Asian women to learn more about themselves, build confidence and sisterhood, and create positive change in our community!

The program that will meet every Wednesday from 3-6 p.m. (plus some field trips and extra days) for the entire school year. Space is limited to 20 youths.

All applications are due Friday, September 15, 2017.


1. Contact Information

2. Gender (Check all that apply):

3. Sexual Orientation:

4. Which Racial/Ethnic groups do you identify as (check all that apply)

7. How did you hear about KGA? Please list the name(s) in the space provided.

8. Why are you interested in joining KGA's Young Women's Empowerment Program?

9. What does sisterhood mean to you and why is it important?

10. How would you contribute to building a powerful sisterhood with other girls in KGA’s programs?

11. What is a common problem or issue that young Khmer/ Southeast Asian women face in your community?

12. We would love to know more about you! What else would you like to share? (ex: qualities, goals, interests, what makes you unique, life struggles, etc.)