"I will take what I have learned in one day to empower me for the rest of my life."

Participant Selection

 

Girls (ages 13-21) interested in becoming a HerShe must be referred by a social worker or another adult who has an existing relationship with the youth (caregiver, teacher, pastor, attorney, group home administrator, etc.).  Girls who have an interest in participating must then apply and participate in a selection process that includes an in-person group interview session. Referrals are accepted all year long, however, the  selection process only occurs in the spring of every year.  All referrals will receive invitations to  participate in the  interview process.

 

Participants must meet the following criteria:

  • Expressed interest and enthusiasm for the HerShe program.
  • Make a yearly commitment to HerShe and participate in all activities.
  • Ability to fully participate in an active camping program.
  • Maintain at least a 2.3 GPA and have an interest in learning.
  • A record of positive behavior in the community and at school.
  • Leadership potential.
  • Demonstrated desire to succeed.
  • An interest in the performing arts – a plus.

 To refer young women to the program, please submit the form below:

·         Girl’s Full Name, Age and Birthdate

·         Address, Phone Number, and Email (if applicable)

·         School Name, Grade, and GPA

·         Name of Caregiver & Type of Placement

·         Referring Party’s Name, Company/Organization, Address, Phone Number and Email

 
REFER A GIRL TO HERSHE:

First Name *
Enter 1st Name
Last Name *
Age *
Birthdate *
Street Address *
City *
Zip Code *
Phone # *
E-mail Address
School Name *
Grade *
GPA
Name of Caregiver *
Type of Placement *
Group Home, Foster Home, Kinship Care
Referring Party's Name *
Company/Organization
E-mail Address *
Enter E-mail address
Street Address *
City *
Zip Code *
Phone # *
Comments

If you see this paragraph and the element below, then your browser doesn't properly support cascading style sheets. Do not change the values in the form elements below. They are used to prevent spam bots from using this form to send spam.

* Indicates a required field

Click Here to Download and Print the Camp Cinderella Health Form