Roots & Fruits Application Form

ROOTS & FRUITS

Group Program Application

Thank you so much for your interest in the Roots & Fruits group program.

This is a one-month, high-touch educational program designed to equip you with the toolkit every daughter of immigrants should have.

The Roots & Fruits group program includes weekly 75-minute video sessions, a full curriculum of worksheets, resources, and skills, and a community chat so we can support one another throughout. If you're interested in this program, please fill out the application below.

Want 1:1 support instead? Check out my individual program.

Name

Phone Number (for WhatsApp or Voxer)

Age

Where do you live?

What is your time zone?

How do you identify as a cultural being (specify race/s, ethnicity/ies, and other elements that are important to you like sexual orientation, religion, etc.)

What would your ideal outcome be (ie, how would you like to feel as a result of participating in the program)?

Are you ready to invest the time, energy, and finances into getting the most from this program?

I would prefer to invest in the program:

The time that works best for my schedule on Wednesday (times in PST):

My next program starts October 1st. Are you ready to start that date?

ROOTS & FRUITS

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