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Become A School Partner

Pretty Brown Girl Program Request for Services Form

"*" indicates required fields

Name*
Please provide your direct cell phone number for immediate assistance.

School Information/ Profile

School Address*

Designated School Contacts/ Information

Your school must identify one staff member to serve as our Billing Contact (will assist with invoicing, POs, billing, etc.) and one staff member to serve as our Main Point of Contact (will assist with school protocols, program logistics, scheduling, classroom management, etc.).
Please provide a direct cell phone number for immediate assistance
Please provide a direct cell phone number for immediate assistance

Demographics of Participants

What are the demographics of the girls we will be serving?*
Please select the demographics that apply
Please share any insight and specific details such as climate and culture, energy levels, etc.

Program Information/ Request for Services

Please complete the following fields so we can understand the scope of your request.
Principals can nominate official school staff members to facilitate our program. Ideal candidates are those who have a heart for the girls, a bubbly personality, and someone who can relate to the girls on various levels (i.e. culture, trends, etc.). PBG will provide Facilitator Training and a stipend for each facilitated session.
Returning Educational Partners are schools who had an active Pretty Brown Girl Club during the 2021-2022 school year.
Multiple groups can be ordered. Each group should serve girls within similar maturity levels (i.e. 3rd grade, 4th-5th grade, 6th-7th grade). PBG will not exceed more than two grade bands with the exception of middle and high school students.
Grade Levels of Participants*
Select the Grade Levels that apply
Note: Sessions will run during weekdays only (Monday-Friday).
Note: PBG Academy is designed for after-school learning.
Note: Anticipated start dates are not guaranteed as programs are started in the order in which payments/Purchase Orders are received.
This field is for validation purposes and should be left unchanged.

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