FBB College & Career Readiness Registration

County*

Participant's Gender*

Participant's Age*

Race*

Number of People in Household?*

Check all adults in the household: (above the age of 18)*

Household Income*

School*

Grade*

Anticipated Graduation Year*

Academic Areas of Challenge*

Have you ever participated in a Family Biz Builder in-school and after-school program?*

I agree that my child(ren) will attend group and one-on-one sessions with a mentoring coach. (at minimum 1.5 hours per week required)*

Family Biz Builder promotes the organization online (via website, Facebook, Instagram, LinkedIn and YouTube). I agree that any program videos recorded or photos taken can by published online.*

I understand that Family Biz Builder will not be held responsible for any inappropriate use of internet sites.*

I agree to participate in parent meetings and training courses.*

Are you interested in working part-time as a Mentoring Coach?*

Would you like to be a Volunteer in the College & Career Readiness Program?*