Enroll: Apply to join this innovative program for teen girls

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Begin your journey and become an Elite Woman of Excellence.

Dear Applicant,

Thank you for your interest in Elite Women of Excellence (“EWOE”). EWOE is incorporated as a faith-based charitable organization and is qualified as tax-exempt under Section 501(c)3 of the United States Internal Revenue Code. Our focus is to instill values, develop character, and mentor middle and high school girls for the further achievement of their educational goals.

Eligibility for selection and participation in the EWOE Mentoring Program requires that each applicant meet the following requirements:

Applicant (and Parent or Guardian) must acknowledge and have appreciation for our program’s Doctrinal Statement of Faith (see attached.)
Applicant must currently reside in a Metro Atlanta county.
Applicant must be in good standing at her school.

Please feel free to call me if you have questions regarding eligibility and selection.

Sincerely,

Lisa

Lisa Smith
Executive Director/Founder

Please allow 10 – 15 minutes to complete the entire application. After completing the first screen, you can save and come back later.

1PARTICIPANT INFO

2PARENT / GUARDIAN INFO

3PARTICIPANT AGREEMENT

4CODE OF CONDUCT

5MEDIA AGREEMENT

6STATEMENT OF FAITH

7FINANCIAL AGREEMENT

PARTICIPANT INFORMATION
Participant Full Name*
First Name*
Middle Name*

Please enter NA if not applicable.
Last Name*
Street Address*
City*
ZIP Code*
County Name*
Home Phone*
Student Email Address*
Which program are you applying to?*
Grade level in the fall of this year*
Grade level in the fall of this year*
Grade level in the fall of this year*
Are You Enrolled as a full tIme student?*
- Yes
- No
Do you have a GPA of 2.5 or greater?*
- Yes
- No
Birth Month*
Birth Day*
Birth Year*
Do you have children?*
- Yes
- No
School attending in the fall?*
Career Interest(s)*

Please enter NA if not applicable.
Do you plan to attend college or tech school?*
- Yes
- No

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PARENT / GUARDIAN INFORMATION
Primary Parent/Guardian First Name*
Primary Parent/Guardian Last Name*
Primary Parent/Guardian Relationship*
Secondary Parent/Guardian First Name
Secondary Parent/Guardian Last Name
Secondary Parent/Guardian Relationship
Street Address*
City*
ZIP Code*
County Name*
Home Phone*
Email Address*
Emergency Contact Name*
Emergency Contact Phone*
Marital Status*
- Married
- Divorced
- Single
- Separated
- Widowed
- Partnered
How did you become familiar with Elite Women of Excellence?
Please read carefully before signing this form –
Accuracy*
- I agree with the following statement:
I hereby certify that the foregoing statements are true and correct to the best of my knowledge and I grant Elite Women of Excellence permission to verify all information. I understand that any false statements or omissions of information on this form will result in refusal of participation or dismissal if discovered subsequent to my program acceptance. I hereby authorize Elite Women of Excellence to investigate all statements contained in this form. I request any duly constituted law enforcement agency, judicial officer, or former employer to furnish Elite Women of Excellence with all information it might have pertaining to me and I hereby release Elite Women of Excellence and these entities from all liability for any damages whatsoever for issuing same.
Consent*
- I agree with the following statement:
I understand that upon submission of this completed form, I will be considered for acceptance into the Elite Women of Excellence Mentoring Program. I understand that if accepted, I will be required to actively participate in workshops, community events, and social engagements. I understand that if accepted, I will abide by the guidelines of the program. I also understand that unseemly behavior may be grounds for dismissal from the program. I understand that if accepted, my participation status is for a definite term and is terminable at any time at the will of either myself, or Elite Women of Excellence for any reason.
Applicant E-Signature*
Parent/Guardian E-Signature*
Date Accuracy and Consent Signed by Applicant*
MM slash DD slash YYYY
Date Accuracy and Consent Signed by Parent/Guardian*
MM slash DD slash YYYY

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PARTICIPANT AGREEMENT AND RELEASE
*
- I agree to the Participant Agreement and Release terms.
Download the Participant Agreement and Release
THIS AGREEMENT AND RELEASE (“Agreement”) is made and entered into to be effective as of
Date*
MM slash DD slash YYYY
by and between Elite Women of Excellence, a Georgia nonprofit corporation (“Nonprofit”), and
Participant's Full Name*
an individual (“Participant”).
Parent or Legal Guardian E-Signature*
Participant Signature*
Date Parent Signed Participant Agreement and Release*
MM slash DD slash YYYY
Date Participant Signed Participant Agreement and Release*
MM slash DD slash YYYY
As a participant in our program, you or your daughter will be able to access a private section of our website with a variety of program-specific resources. Please create a user name and password below.

Note: If you’re applying to the Junior Elite program, this access will be tied to the parent or guardian’s email address and for their use as well.

Note: If you’re applying to the Senior Elite and/or Cotillion programs, this access will be for the participant and will be tied to the participant’s email address.
User Email Address*

If you are applying for the Junior Elite Program, please use your parent's or guardian's email address.
Username*
Password*
Enter Password Confirm Password

Strength indicator

EWOE requires strong passwords for your security. Please use a password with at least 12 characters using upper case letters, lower case letters and numbers.

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CODE OF CONDUCT
Elite Women of Excellence’s (“EWOE”) Mission is to unleash the full potential of teenage girls to make wise decisions as they stand on principles, passion and purpose. EWOE is a faith-based organization that uses bible references and other Christian resources for workshops and other instruction. As part of the EWOE program, you will be given an opportunity to attend and participate in workshops where we will discuss sensitive topics, including, but not limited to, current social pressures (e.g. inappropriate use of social / mobile media, bullying, dating abuse), drug and alcohol use and consequences of premature sexual behavior (e.g. STDs, pregnancy, etc.). EWOE prides itself on creating a safe atmosphere for its participants. We can only achieve this by establishing the Code of Conduct that you agree to abide by if you are participating in any EWOE program. While honesty, thoughtfulness and respectfully voicing an opinion are expected and encouraged, EWOE will not tolerate any harassment, discrimination, bullying, and/or negative biases. Harassment includes offensive verbal comments; deliberate intimidation; stalking; following; harassing photography, text(s) or recording(s); disruption of talks or other events; and inappropriate physical contact. Please read and acknowledge your acceptance and agreement by signing below:
- I will follow the rules made to protect others and myself and to help make sure program activities are safe, fun and successful.
- I will treat other people, property, equipment and myself with respect.
- I will keep all conversations at EWOE events confidential and acknowledge that
- I will not behave in such a manner that monopolizes the time of the facilitator or jeopardizes the EWOE experience for all of the participants.
- I will not bully, harass or abuse my fellow EWOE participants.
- I will listen carefully to all instructions and appropriately respond to all directions given.
- I will be respectful of the EWOE facilitators, volunteers, and directors.
Failure to follow our Code of Conduct may result in dismissal from the program at EWOE’s discretion.

EWOE reserves the right, based on the behavior involved, to terminate a participants’ involvement in EWOE or its programs.
I will follow the principles of EWOE as listed below on this Code of Conduct.*
- I agree
EWOE Participant*
Date Participant Agreed to Code of Conduct*
MM slash DD slash YYYY
Parent Guardian Signature*
Additional Parent Guardian Signature
Parent Guardian Signature Date (Code of Conduct)*
MM slash DD slash YYYY
Parent Guardian Signature Date (Code of Conduct) additional
MM slash DD slash YYYY

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PHOTOGRAPHS and VISUAL MEDIA AGREEMENT
In consideration of my selection as a participant in the Elite Women of Excellence Program, I do hereby grant EWOE the right to use, for such time period as the organization may in its sole discretion choose, without payment of any fee or charge, any photographs, video, or other visual media of me, taken by or on behalf of EWOE, at or during EWOE workshops and events, for the purpose of furthering the objectives of the organization, including, without limiting the generality of the foregoing:
1. for illustrative purposes in instructional materials prepared by or on behalf of the organization;
2. for organization promotion, communication, website, or marketing purposes.
I acknowledge that EWOE has the right to make arrangement with any broadcaster or production company of its choosing for purposes of having the workshops and events, or portions thereof recorded. I hereby agree to be filmed, televised, photographed, identified, illustrated, and otherwise recorded during workshops and events, without payment of any fee or charge, for any such telecast or production. I acknowledge that the copyright on the use of the photographs and visual media will be retained by EWOE. I understand these photographic images may be stored on computer in a digital format.
I give my consent for use of photographs and visual media as outlined above. (Signature required for participants that are 18 years of age or older)*
- Yes
- No
I give my consent for use of photographs and visual media taken of my child as outlined above.*
- Yes
- No
Participant or Parent/Guardian E-Signature*
If applicant is under 18, parent or guardian must sign here. If the applicant is 18 or older, applicant must sign.
Participant or Parent/Guardian Signature Date*
MM slash DD slash YYYY

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FINANCIAL AGREEMENT
Parents, guardians, or other persons responsible for payments should read all the provisions of this Contract, complete the required information, sign, and return the Contract to EWOE accompanied by a Registration Fee of $35. A Participant is considered for enrollment when the Contract has been delivered to EWOE, countersigned, and dated. No amendment to this Contract and no alteration or addition to the printed terms hereof will be effective without the express prior written approval of EWOE.
Participant's Full Name
First Name*
Middle Name*

Please enter NA if not applicable.
Last Name*
Upload Participant’s Photo (Optional)
Accepted file types: jpg, gif, png, Max. file size: 1 MB.
Upload your photo - Maximum upload file size: 1 MB.
Contract Date*
MM slash DD slash YYYY
In consideration of the acceptance of this Contract by EWOE, the undersigned agrees to pay the required total PARTICIPATION FEE for the session and any additional fees incurred. Enrollment is conditioned upon the following terms:
1. A non-refundable Registration Fee of $35 must accompany this completed Contract (Payment will be accepted after the signing of this enrollment contract)
2. The participant and the participant's parent/guardian agree to comply with and be subject to the EWOE rules and policies as set forth in the Parent-Participant Handbook, as amended from time to time.
3. In all events, the participation fee payment must be paid on or before the first workshop or event, or the participant's place will not be reserved.
Accepted:
Signature*
Parent/Guardian (or person responsible for payment)
Parent Guardian Contract Signature Date
MM slash DD slash YYYY
Parent Guardian Name*

Type name of parent or guardian (or person responsible for payment)

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Enroll

Begin your journey and become an Elite Woman of Excellence.

PARTICIPANT INFORMATION

PARENT / GUARDIAN INFORMATION

PARTICIPANT AGREEMENT AND RELEASE

CODE OF CONDUCT

PHOTOGRAPHS and VISUAL MEDIA AGREEMENT

DOCTRINAL STATEMENT OF FAITH

FINANCIAL AGREEMENT