Nominations,

Indianapolis, IN

Use this form to nominate a girl between the age of 13 - 18 for the That's What Teens Say Weekend Program.

Please submit by .

Dates & Times

Your Nominee will need to be available:

The weekend of - ,
, 6:00 PM - 9:00 PM
, 10:00 AM - 6:00 PM
, 12:30 PM - 5:00 PM

**Program has a fee of for the entire weekend participation including all meals and snacks. Please indicate if your nominee should be considered for financial assistance, as program scholarships are available to those who need them thanks to our generous sponsors.

Nominee Information: Please tell us about the teen girl you are nominating for the program. We will contact your nominee and parent or guardian once this form is submitted.

Nominee's Name *

Nominee's Phone Number *

Nominee's Email *

Nominee's Age *

Nominee's School

Nominee's Grade

Your Relation To The Nominee *

Length Of Relation To The Nominee *

Visual Estimation Of Nominee's Race/Ethnic Background

I believe my nominee would need a scholarship in order to participate. *

Nominator Information: Please tell us about yourself!

Nominator Name *

Nominator Email *

Nominator Phone *

What is the best way to contact you? *

Nominator Occupation *

Nominator Employer *

Nominator Address *

Nominator City *

Nominator State *

Nominator Postal Code *

Nominee Parent Information: Please share information about your nominee's parent or guardian

Nominee's Parent or Guardian Name *

Nominee's Parent or Guardian Email *

Nominee's Parent or Guardian's Number *

Best Way To Contact Nominee's Parent or Guardian *

Nominee's Parent or Guardian Address *

Nominee's Parent or Guardian City *

Nominee's Parent or Guardian State *

Nominee's Parent or Guardian Zip Code *

Tell Us Why: To maintain the integrity and most effective adult to teen ratio of the program there are limited spots available for the TWTS program. Let us know why your nominee should be one of them!

Tell us about your nominee and why you think she would be a great fit for the That's What Teens Say Program. *

What else should we know about your nominee, that may be relevant to their participation in the program? (confidential) *

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Important Information

Your nominee will need to submit an application!

For your nominee to be considered for the TWTS Program, please have them fill out the application form.

Application forms must be submitted by , in order to be considered for the TWTS program.

APPLICATION FORM

Contact: 812.841.4797 | [email protected]

The contents, experiences, and opinions shared by the speakers in the show are their own and do not reflect the views of The She Said Project or She Said Project Indianapolis. The She Said Project upholds that every woman has a right to be heard.