New Site Request

First Name *

Last Name *

School/Community Center Name *

School/Community Center Address *

Contact Email Address *

Contact Title

How many interested girls are present at your school/community center in grades 3-5?

Do you have a space that can accommodate this many girls with room to move around?

Does your school/community center already have an after-school program in place?

If so, does it have the ability to expand to include Girls Inc. of Greater Pittsburgh?

Are there potential days/times you already have in mind to schedule Girls Inc. of Greater Pittsburgh programming each week? Provide Details below

I understand that in order to become a site, Girls Inc. of Greater Pittsburgh requires that a staff member from the school/community center volunteer as Site Facilitator for at least 1 full school year.