Upward with AI: A Career Resiliency Hub in Selma 

Thank you for your interest Upward with AI: A Career Resiliency Hub in Selma.  This program is offered in partnership between the Selma Center for Nonviolence, Truth, & Reconciliation, Partnership for Equitable and Resilience Communities (PERC), and Rung for Women. 

Please take a few minutes to answer the following questions to determine whether you are eligible to apply for the program.

Eligibility Requirements:

• Women, 25 years of age or older
• Proficient in English 
• High school diploma or GED
• Desire to grow professionally
• Readily able to access a computer and internet connection
• Have at least 2 years of work experience
• Able to travel to Selma Citi Center building (217 Broad Street) for regular program events

To learn more about Upward with AI, read more about the program here or reach out to Lydia Chatmon at lchatmon@selmacntr.org

If you have any questions about this form, please contact us at membership@rungforwomen.org.

Personal Information

First Name 

Last Name 

Phone Number 

Email 

Zip Code 

Birthdate  

Select your annual income. 

0 - $25,000

$26,000 - $35,000$36,000 - $50,000$51,000 +

Tell us more about you

A. I am a woman who is 25 years or older 

Yes No 

B. I am proficient in English. 

Yes No 

C. I have at least a GED or high school diploma.

Yes No 

F. I have at least 2 years of work experience

Yes No 

G. I have readily available access to a laptop or computer

Yes No 

H. I have readily available access to wifi (internet)

Yes No 

I. I want to continue to grow professionally and/or in my career

Yes No 

J. I am able to travel to Selma Citi Center building (217 Broad Street) regularly to attend in-person program meetings 

Yes No 

Can we text you updates?

YesNo By selecting yes, you consent to receiving text messages (announcements, reminders, updates, etc.) at the number provided. Consent is not a condition of purchase. Msg & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe link (where available).