The Young Black Women's Project Registration Form (Spring 2024)

The Young Black Women's Project is a leadership program for African, Caribbean, and Black femme-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 6 weeks will receive a certificate AND a wellness package packed with lots of cool goodies 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.*Place holder: Are you available for the following dates from 6:00pm-8:00pm:
Wednesday May 1st 2024
Wednesday May 8th 2024
Wednesday May 15th 2024
Wednesday May 22nd 2024
Wednesday May 29th 2024
Wednesday June 5th 2024
Wednesday June 12th 2024
Wednesday June 19th 2024
(Required.)
10.Why would you like to participate in the Young Black Women's Project?(Required.)
11.Are you willing to participate in group conversations and activities around self-care, sexual wellness, and leadership skills?(Required.)
12.This series will be hybrid and will feature both in-person and online sessions. In-person sessions will take place at 7700 Hurontario Street Unit 701 Brampton, ON. Are you able to access both in-person and online sessions?
13.Do you have any accessibility needs we should be aware of? If so, please outline what these needs are. (i.e subtitles on ZOOM, transportation needs to in-person sessions, etc.)(Required.)