FutureHer Applications - Adelois Consulting

FutureHer Girls Application

Thank you for your interest in becoming a FutureHer Girl!

Please complete this application carefully. Participants under 18 will require parent or guardian consent before their place is confirmed.

Full Name *

Email Address *

WhatsApp Phone Number, including country code *

Country of Residence *

Age *

School Name *

Current Grade or Year Level *

Which STEM areas interest you most? *

Why would you like to join the FutureHer Mentorship Program? *0 / 150

Is there a STEM career or subject you are currently interested in? *0 / 150

Are you available to attend all virtual sessions? *YesNoI am not sure yet

Do you have access to a phone, tablet, or computer with internet connection? *YesNoSometimes

Are you willing to participate in discussions, activities, and a mini project? *YesNoMaybe

Parent or Guardian Information

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent or Guardian Phone Number *

Parental Consent *

I am the parent or legal guardian of the applicant, and I consent to her participation. I understand that all sessions are recorded and shared with me, and that I can withdraw her at any time.

Program Fee and Agreement

Please confirm the following: *

I understand that submitting an application does not guarantee admission.
I will attend the sessions and participate respectfully if selected.
I understand that payment and parent or guardian consent are required to confirm my place.
I understand that sessions may include group discussions and mentor interactions.
I agree to follow the FutureHer participant guidelines.

Participant Digital Signature *

Parent or Guardian Digital Signature *

Please do not fill in this field.

FutureHer Mentors Application

Thank you for your interest in becoming a FutureHer Mentor!

We are looking for female university students and early-career women in STEM who are excited to share their experiences and encourage the next generation.

Full Name *

Email Address *

Phone Number *

State/Province *

University/College *

Program of Study *

Current Year of Study *Year 1Year 2Year 3Graduate StudentOther

Expected Graduation Year *

What STEM field best represents your background? *ScienceTechnologyEngineeringMathematics

Tell us briefly about your STEM journey. *

Why are you interested in becoming a FutureHer Mentor? *

What experiences or knowledge would you love to share with a high school girl interested in STEM? *

Have you mentored, volunteered with, or worked with young people before? *YesNo

If yes, briefly tell us about your experience.

Which areas would you feel comfortable supporting a mentee with? *Exploring STEM careersChoosing a university/programUniversity lifeConfidence and self-beliefGoal-settingStudy habitsLeadershipNetworking and communicationScholarships and opportunitiesSTEM projects and extracurriculars

Are there particular STEM fields or interests you would prefer your mentee to have?

Upload Resume *

No file chosen

Are you comfortable helping promote FutureHer? *YesNo

Which promotional activities could you support? *Sharing FutureHer posts on social mediaSharing flyers within university groupsPromoting through STEM clubs or associationsTelling friends/classmates about the programSharing approved content in relevant group chatsCreating occasional authentic social content about FutureHerOther

What university clubs, student groups, STEM communities, or networks are you currently connected to?

Are you available to participate in the 4-week virtual mentorship program? *YesNo

Can you commit to meeting and communicating consistently with your assigned mentees throughout the program? *YesNo

Are you able to attend the 1-day in-person FutureHer Showcase/Celebration? *YesNoTo be confirmed

What days/times are generally best for virtual mentor sessions?

Confirmation *

I understand that I will be mentoring a high school student.
I will communicate respectfully and maintain appropriate mentor–mentee boundaries.
I will follow all FutureHer safeguarding and communication guidelines.
I understand that mentor communications must follow the approved program structure.
I can commit to the full 4-week program.
I understand that this role also includes helping promote FutureHer.
I understand that completing this application does not guarantee selection.

Is there anything else you would like the FutureHer team to know?