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Member Interest Form

Do you want to be a part of the network empowering single moms & their children to move beyond survival mode to thriving? If so, keep going to sign up below. We'll contact you to share more based upon your goals. 

Contact Information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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If you are enrolled in college, but on maternity leave or just taking a 1-semester break, select the first option. Our definition of single is either unmarried or divorced or widowed AND not living with a romantic partner. Moms who are dating are welcome to apply.
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How can we help? Check all that you have some interest in:
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Input due date if you are pregnant
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Please select the college where you are enrolled (or will be enrolled Fall 2020)
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Your college may not be an approved institution yet, but go ahead and let us know where you go & we'll explore the possibilities.
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Include the steps you've completed towards college enrollment & steps you still need to take in as much detail as possible.
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Scholar Village Living & Learning Community

ScholarVillage

Living & Learning Program
Live & learn in a community with other single moms in college. Residents will live close to campus in their own 1 or 2 bedroom apartment with childcare available onsite or nearby.
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We will send you more information if so.
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Reminder

If you cannot submit the application, scroll up to make sure that you have completed all required fields.