Contact Sign-Up

Ms Moxxie Mentee Application - Year 1 Applicants Only

The next Ms Moxxie cohort will run May 2026 - October 2026. Full schedule of meetings and program events will be released soon.

Upon receipt of your application, you will be contacted by a representative of Moxxie Mentoring Foundation to schedule a call to discuss the program commitment and answer your questions.

Moxxie Mentoring Foundation subsidizes most of the Ms Moxxie program through its fundraising initiatives. A program participation fee of $800 is due prior to the first meeting.   

Be sure to visit the Ms Moxxie program page prior to submitting your application.

Personal Info

First Name:*
Last Name:*
Home Address:*
Home City:*
Home State:*
Home ZIP Code:*
Mobile Phone:*
Date of Birth:*
Personal Email:*

Professional Info

Company Name:*
Company Address:*
Company City:*
Company State:*
Company ZIP Code:*
Company Position:*
Company Phone:*
Company Email:*
Direct Supervisor Name:*
Direct Supervisor Title:*
Direct Supervisor Phone:*
Direct Supervisor Email:*

Group Meetings

Meetings will take place from 8:00 AM - 9:15 AM or 12:00 Noon - 1:15 PM. Each group will meet once every other week from May - October.

Which meeting time best fits your schedule:

In-person meetings will take place at a central location (site TBA) from 6:00 PM - 7:30 PM. Which location is most convenient to you?

What are you hoping to learn from Ms Moxxie?

How did you hear about Ms Moxxie?

Submit Cancel