Teen Empowered Application

Are you Ready to Discover who you are?

Are you ready to Develop professional + life skills?

Are you ready to Deliver your Talents to world to make an Impact?

If you are, what are you waiting for?

Start the Application Below.

Requirements: Available for Zoom Meetings every Wednesday for 8+ weeks at 7:00pm.

Serve for 2-3 hours on 2+ Weekends per month.

What's Your Name?

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

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What is your Parent's Name

First Name

Last Name

What is your Parent's Phone Number

(###)

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Do you have access to Reliable Transportation?

Are you a member of a Church? If so, tells us the name of your church and the name of your Youth Leader. If not, just say "NO"