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YouthBUILD EC Application Form
PERSONAL DATA INFORMATION
*
Indicates required field
Full Name
*
Place of Birth
*
Date of Birth (DD/MM/YYYY)
*
Gender
*
Male
Female
Address Street
*
City
*
Nationality
*
*
Black, Indigenous & Other people of color (BIPOC)
Religion
*
Education Attainment
*
High School Level
High School Graduate
College Level
College Graduate
Email
*
Phone Number
*
Have you ever worked in the construction field and if so, what is your experience?
*
Why do you want to apply to this program?
*
What are your challenges or areas of weakness or areas where you may need to improve or need more development?
*
Computer Skills (Techy)
*
Beginners
Intermmediate
Proficient
Communication Skills
*
Beginners
Intermmediate
Proficient
How many hours per week you can work?
*
How did you hear about the program?
*
IN CASE OF EMERGENCY CONTACT
Full Name
*
Address Street
*
Email
*
Phone Number
*
Relation to Applicant
*
*
I hereby affirm that the information provided above is accurate and true to the best of my knowledge. I understand that any discrepancies or inconsistencies found in the information may lead to disqualification or legal action where applicable, and I agree to bear the consequences of any such instances.
Availability Date
*
Submit
PARENT/GUARDIAN CONSENT FORM
(Below 18 years old only)
I,_____ , am the parent or legal guardian of YouthBuild participant_____ , who is_____ years old and resides at_____ .
I hereby give my full consent for my child to participate in the
YouthBuild-EC Program
offered by
The Man Up Club
. I understand that this program includes educational support, job training, mentoring, leadership development, and community service.
I affirm that I am legally authorized to give this consent and that all the information provided above is true and accurate.
*
Indicates required field
Parent or Legal Guardian Name
*
Participant Name
*
Participant Age
*
Participant Address
*
Signature
*
Max file size: 20MB
Date Signed:
*
Submit
Home
About
Programs
All Programs
Man Up Mentoring
Culinary Arts
Fitness Program
Summer Program
YouthBUILD EC Application Form
Events
All Events
Man Up Gala
Become a Member
Donate
News
Contact
Godflow Fest
Godflow Prayer Movement