Youth Enrollment Form

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The Élève Initiative

Participant Information (Youth - under 18)

First name*

Last name*

Email*

Your preferred contact method*

Phone

Do you currently reside in the DFW Area?*

We are dedicated to supporting individuals within the Dallas-Fort Worth area, offering tailored assistance to those in our local community.

How do you identify? *

Age [Optional]

What is your main reason for requesting support with clothing and styling? (Select all that apply)*

Job interview preparation

Support for a new job

School-related needs

Social or community events

Other

If other, please specify.

6. What type of clothing do you primarily need? (Select all that apply)*

Business/professional attire

School or casual attire

Special occasion or social event attire

Other

If other, please specify.

Aside from styling services, are you interested in additional resources such as mentorship, guidance, or other support? Please specify:

Mentorship

Interview Preparation

Career Coaching

Academic Guidance

Personal Development Resources

No, not at this time - just assistance with styling & outfits please!

Other

If other, please specify.

Is there anything else you would like us to know?

Initials*

Parental/Guardian Consent (For Minors Under 18)

Parent/Guardian Name*

Relationship to Participant*

(e.g., Parent, Guardian, etc.)

Phone*

Email*

Your preferred contact method*

I, the undersigned parent or legal guardian of the minor listed above, hereby give consent for their participation in the Éleve Initiative program. I understand that my child will be receiving styling assistance and related services and that all information shared will be kept confidential. I acknowledge that I am responsible for their safety and well-being while participating.

Date picker*

Signature*

Signature field is empty.

ENROLLMENT FORM

Youth enrollment is below, if you are under 18 (guardian consent is required).

We provide personalized fashion assistance, mentorship, and career guidance tailored to women and youth. Our simple, confidential form helps us support your confidence and success in school, work, and beyond.

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