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MOMentum Membership Application 2020

One single mom walking hand in hand with her child and a network beside her can change the game for generations to come 

By applying to join The MOMentum Network, you're offering to make a difference individually and collectively. It takes a village & we're so glad you want to be a part of an intentional network working to shatter statistics and build a better future 2 generations at a time. 

While the MOMentum Network is led by followers of Christ from multiple churches in the Chattanooga area and beyond, we serve pregnant and single moms and their children regardless of religious affiliation. We offer practical and professional help in addition to prayerful guidance. Moms may choose to receive 

Mission: Building the village that propels two-generations to shatter statistics with single moms in college & their children.

Vision: To see connected, empowered, educated moms transform their families and communities.

We are thrilled that you are interested in being a part of building MOMentum! Please fill out the information below as completely as possible. We will follow up within 2 business days from the receipt of your application. Thank you!

We can't wait to get to know you better!
Please complete all the information below.
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Mark one that applies
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First Name
Last Name
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(mm/dd/yyyy)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
MOMs
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Select one that applies
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Check all that apply
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If Applicable
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Criminal convictions do not necessarily preclude you from participating with us.
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Don't be shy. We like to keep things real around here.

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Getting Involved
Let us know how you'd like to engage with The MOMentum Network.
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Please indicate your interest(s):
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Please check yes if you're interested now or in the future. The housing would be affordable with amenities based on the needs of families.
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(mm/dd/yyyy)
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This could be anything from "rent under $xxx/mo in a safe area" to "a playground and laundry room onsite" to "located near ______". Your candid feedback is helpful in providing resources that matter to you.
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This could be anything from "Nothing; I live for free with my parents and it's great" to "rent under $xxx/mo in a safe area with a playground." Your candid feedback is helpful in providing resources that matter to you.
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Please choose all that apply
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Please list organization(s) & details of service. If you have not volunteered with any organizations, list "none."
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Please note: no free services to sell products allowed. For example, if you want to provide a free makeover, you must agree not to push product or upsell.
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One hour a semester minimum, no max :D
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Our activities are designed to be family-friendly with childcare provided for children of single moms & volunteers 11 & under.
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Your Network
Please complete the information below so that we can know how to best support you.



First Name
Last Name




If you don't attend-no worries. We just like to know which churches are active in our network.
Board/Committee Service
Mentoring
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If faith is not part of your experience, write N/A
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Your Capacity
We want to honor you by seeking to understand your capacity in this season. Please share with us below.
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Availability
Please indicate when you would most likely be able to engage during the week.
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College Intentions
The MOMentum Network serves single and expectant moms in college, but can also help single moms who want to attend college who are not currently enrolled. If you are not currently enrolled in college, but would like help enrolling and staying in college with support, please help us understand your plans below.
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Mark only one oval
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1 being just an option, 5 being very important
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Check all that apply
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College Information
Please complete based upon your current enrollment as of today.
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Mark only one that applies
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Serving
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Better Together
All of us have something to offer and areas to grow. We aim to develop you as a leader. When we are our best selves, we can make others' lives even better. Often we become our best selves through service. Please share your interests in personal and professional development as well as your strengths and gifts.
Indicate your proficiency in the following areas:
1 equals not proficient, 4 equals strong
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Your support matters
Network membership is free, but we can't do this without an investment from community members like you. We receive NO government funds and the majority of our funding comes from individuals like you who want to be a part of making sure that no single mom and her child working to build a better future are walking this road alone. Any size gift makes a big difference.
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We rely 100% on support from the people in our network. Thanks for your consideration!
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Check all that apply
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Be honest, we want to help as much as we can
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We work to help members with the whole picture: physical, emotional, financial, spiritual, etc.
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Additional Information

You're all finished!
Thank you for your interest in The MOMentum Network! We will be in touch shortly. Your email will be added to our list so that you can stay up to date with MOMentum resources, events, and information. You can unsubscribe at any time.
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Check all that apply