Register for the Virtually Possible - Girls fire academy 2020

To register for the Virtually Possible 2020 - girls fire and resilience program, fill in and submit the form below.

Places in the program are limited, so register soon so you don’t miss out.

If you need any help with your application, email Girls on Fire.

Name

First Name

Last Name

What grade are you in?

Year 10

Year 11

Year 12

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth

Do you identify as Aboriginal or Torres Straight Islander?

Yes

Email address

Phone number

Name, relationship and phone number of legal guardian

Please, briefly tell us why you would like to participate in the Virtually Possible Girls Fire & Resilience Program 2020*

Why do you think it is important for young women to be empowered?

How did you hear about us?

Social media

word of mouth

advertising

other

If other, where?