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eep interest form

HomeWhat We’re Doing – Our ProgramsEconomic Empowerment Programeep interest form

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Join the ywca women’s economic empowerment program

Ensuring all women have the skills and opportunities to gain financial stability. Next session:Enrollment is OPEN NOW for our ALL-AGES cohort!

There are two (2) ways to learn more about EEP

1. Come to YWCA to get an EEP Info Package at 220 Union Ave SE, Olympia, WA 98501.

2. Complete the Interest Form online below. Your answers will remain CONFIDENTIAL and will not be used for any other purposes:

**Notes**

1. Do not use the Return key until you are ready to submit the EEP Interest Form. Use the Tab key until you are ready to submit. When ready to submit, hit Return.

2. If you have submitted your EEP Interest Form correctly you will receive a confirmation message.

3. If you experience any website problems, please contact Cherie at crsperr@ywcaofolympia.org or (360)-352-0593.

EEP Interest Form

Thank you for registering to learn more about the Economic Empowerment Program at YWCA. Please fill out the EEP Interest form below. Your answers will remain confidential and will not be used for any other purposes.

Name*
First Last
Phone*
Email
Address
Street Address City State / Province / Region ZIP / Postal Code
Ethnicity: Are you Hispanic or Latino/Latinx?
- Yes
- No
- Prefer not to answer
Race: Would you describe yourself at (check all that apply):
- Native American or Alaska Native
- Asian
- Black or African American
- Native Hawaiian or Pacific Islander
- White
- Two or more races
EEP is open to all folks who identify as women including trans women and gender nonconforming folks. What are your preferred pronouns?
Emergency name & phone number
Date of birth
MM slash DD slash YYYY
How did you hear about EEP? Who referred you?
Highest education completed:
- Did not finish high school
- GED
- Graduated high school
- Graduated college
- Obtained higher degree (Master's, PhD)
Are you currently on TANF?
- Yes
- No
Will you require accommodations to attend EEP?
- No
- Yes
The health and safety of women is a priority of YWCA. Do you or have you had any concerns about your safety?*
- No
- Yes
What are the obstacles you face in achieving your goals? Check all that apply.
- Childcare
- Transportation
- Physical Health
- Mental Health
- Limited Education
- Lack of right clothing
- Low self-esteem
- Unstable living conditions
- Lack of job experience
- Financial stability
- Lack of resources (networks)

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220 Union Ave SE, Olympia, WA 98501 | Phone: 360.352.0593 | Fax: 360.352.8788 | Open Mon-Thurs 9-4 | ywca@ywcaofolympia.org

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