Skip to content

Young Black Women's Project Interest Form

This form is to indicate interest in signing up for the next cohort of The Young Black Women's Project (YBW). YBW is a leadership program for African, Caribbean, and Black women, women-identifying and gender-diverse individuals in the Peel Region! Over the course of 8 weeks, you will get the chance to build capacity in advocacy skills, wellness strategies, career-building skills, as well as learning more about sexual health and destigmatizing sexual wellness. Participants who complete the 8 weeks will receive a certificate AND a wellness package packed with lots of cool goodies, but overall the support to help you become the most successful Black womxn you can be!
1.Please provide your first and last name.(Required.)
2.Please indicate your age.(Required.)
3.Please provide your email address.(Required.)
4.Please provide your address.(Required.)
5.Please provide your cellphone number.(Required.)
6.Do you identify as African, Caribbean, and/or Black?(Required.)
7.Please state which gender you identify with.(Required.)
8.Are you an Indigenous individual?(Required.)
9.How did you hear about this program?(Required.)
10.YBW primarily runs in two cohorts every year. One in Spring/Summer and the other in Fall/ Winter. We will be sending an email with all the information about each cohort, sessions and dates. Which of these cohorts are you interested in?(Required.)
11.Would you like to receive information about our other programs and services?(Required.)