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The DIVA Institute provides professional speaking, training & consulting for single mothers, young women and the organizations who serve them. Our customized services promote an improved quality of life for women & single parent families.

Your Journey Begins Today...

Please take a moment to tell us about yourself by completing the survey below. Your participation is voluntary, and the information provided will be used strictly for market analysis, program development and event notification by The DIVA Institute.

Note: We will not share your contact information with third party vendors for solicitation or any other purpose(s) unless you authorize us to do so.

You are also invited to visit www.PWNbooks.com to review the entire library of empowerment guides for women. This series is the only one of its kind to provide a global literary platform for collaborative analysis, insight & guidance on issues impacting women of the 21st century. All volumes, including Beyond the Body! Developing Inner Beauty, retail for $19.95 + s/h. Bulk purchase discounts are available.

Thank you for completing the survey. We look forward to meeting you!

Interested Party

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Organization:
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Contact Information

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Evening Phone:	(Numbers only no dashes)
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General Survey

Please complete the following survey to tell us about your interests.

Discussion Modules

	Spiritual Growth
	Taking Care of You & Building Support Networks

	Parenting Skills
	Child Development (40 Developmental Assets)

	Communication with the Absent Parent
	Child support & Visitation Law

	Childcare
	Extended Family Involvement

	School Services & Involvement
	Self-Sufficiency & Professional Development

	Career Opportunities (Traditional & Self-Employment)
	Training & Education Opportunities

	Relationships (Dating & Intimacy)
	Community Service

I am interested in volunteering for community service with the following:

	Teens (13 - 18)
	Young Adults (19 -25)

	Single Mothers
	General (Local Organizations)


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