BIGG BOII STATUS APPLICATION FORM

BIGG BOII STATUS APPLICATION FORM

Please fill out your information below.
Personal Information
Name

First NameLast Name
Birth Date

MonthDayYear
Age
Current Address

Street Address

Street Address Line 2

CityState

Post Code
Phone Number
E-mail
example@example.com
Preferred Method of Contact

PhoneEmailText

EMERGENCY CONTACT
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Relationship:

Program Selection

Choose the program(s) that best align with your goals, needs, and interests.Bigg Boii Status offers transformative programs designed to equip young men with real-life skills, emotional support, and career preparation. Whether you're looking to explore hands-on trades, receive mental health mentorship, develop life skills, or participate in our summer learning academy, we have a place for you. Select all programs you are interested in to help us build the right pathway for your personal growth and success.
Program Selection (Choose one or more)*

Mental Health MentorshipTrade Certification – Automotive IntelligenceTrade Certification – Carpentry & Home RepairTrade Certification – Satellite Installation & MaintenanceYouth Learning Academy (LMS)Summer Youth Outreach ProgramLife Skills Apprenticeship

Educational Background
Current School / Last Attended School
Grade Level / Last Completed Grade
Are you currently enrolled in school?

YesNo
Highest Education Completed

Personal Development & Goals
What are your biggest challenges right now?
What do you hope to gain from this program?
Do you have any long-term goals or career dreams?

Parental/Guardian Consent (If under 18)
Parent/Guardian Full Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
I hereby give my full and informed consent for the applicant listed on this form to participate in the programs and services offered by Bigg Boii Status (BBS). I acknowledge that I have reviewed and understood the nature, purpose, and structure of the BBS program(s), including but not limited to mentorship, training sessions, educational content, and group activities.

I understand that the BBS programs are designed to promote mental wellness, personal growth, career development, and life skills in a supportive, culturally grounded environment. I agree to allow BBS staff, mentors, and affiliated personnel to engage with the applicant in both individual and group settings as part of the program’s curriculum.

I affirm that:

Participation is voluntary and can be withdrawn at any time.
Any sensitive or personal information shared during the program will be treated with confidentiality and respect.
BBS may collect and store non-sensitive data for program improvement, monitoring, and reporting purposes.
By signing or submitting this form, I grant permission for the applicant to fully participate in all approved activities and give BBS consent to provide mentorship, instruction, and program support as described.
Parent or Guardian Signature

Clear
Applicant Signature

Clear
Should be Empty: