10CORE's "CALL IT MY HOUSE" HOUSING LITERACY PROGRAM

FREE HOUSING LITERACY PROGRAM REGISTRATION FORM

To participate in the Program, you must: 1) live in Wayne County, Michigan; 2) be between the ages of 16-20; 3) use your own transportation to get to the site which will be located in the downtown Detroit area; 4) be able to attend every Saturday from 12-3 p.m. (March 2, 2024 - May 25, 2024); 5) complete the following registration form and additional documents, as necessary; and 6) be excited about preparing for YOUR future! You will receive a formal notification of your acceptance in to the Program.
Full Name*

First NameLast Name
Parent/Guardian's Name (if under 18)

First NameLast Name
Birth Date

MonthDayYear
E-mail
Name of High School or Community College/College you attend (if applicable):

________________________________.
School
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Dream Job
Dream Business
Briefly state why you would like to participate in the Program?
The Program seeks to provide a safe environment for everyone. Please advise if you have allergies or other concerns:
Should be Empty:

FREE HOUSING LITERACY PROGRAM REGISTRATION FORM