Compton YouthBuild Enrollment Interest Form

Compton YouthBuild Enrollment Interest Form
Name
Email
Phone Number
Format: 000-000-0000.
Birth Date

MonthDayYear
Date
Age
Age
Are you a resident of LA County?
Zip Code
e.g. 90222
Interested in Compton YouthBuild?

Attend a MANDATORY Information Session held on-site every Tuesday at 4:00 PM.

📍 Location:
1108 N. Oleander Ave.
Compton, CA 90222

📞 Reserve Your Seat:
Space is limited. Please call (310) 631-2000 to reserve your spot.
How did you hear about us? (Check all that apply)
Please note: Filling out this form does not guarantee acceptance into the Compton YouthBuild program.
You may contact us at (310) 631-2000 or email us at info@entrenousempower.org.
Thank you for your interest in Compton YouthBuild. This form is no longer active and is no longer accepting submissions.

To submit your interest for enrollment, please complete the updated Interest Form at:

https://forms.gle/XrFXdya34KSVeBA76

Thank you

(Updated 06/25/2026)
Should be Empty: