• RISING STARS BUSINESS ACADEMY RETURNING STUDENT ENROLLMENT APPLICATION

    RISING STARS BUSINESS ACADEMY RETURNING STUDENT ENROLLMENT APPLICATION

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  • 2025-2026 Intake Application Form

  • Date*
     - -

  • Participant Information

  • Is this permanent housing?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Birthdate*
     - -
  • Gender*

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent/Guardian 1's Highest Level of Education
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent/Guardian 2's Highest Level of Education:

  • Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Additional Participant Information

  • Are you physically capable to participate in all physical activities?*
  • Are you currently on any medication?*
  • Do you currently or have you ever had any special health conditions (for example: asthma, seizures, hearing impaired, etc.?)*

  • Probation

  • Are you currently on probation or parole?*
  • Check all that apply
  • Format: (000) 000-0000.

  • YouthBuild Questions:

  • 1.) Are you in foster care?*
  • 2.) Have you ever been in foster care?*
  • 3.) Have you ever been homeless?*
  • 4.) Are you LGBTQ?*
  • 5.) Marital Status*
  • 6.) Post-secondary Goals*
  • 7.) Are you eligible to register to vote?*
  • 8.) Are you registered to vote?*

  • Rising Stars Business Academy/ Moreno Valley YouthBuild is here for you.

    Thank you!

    We look forward to seeing you soon!

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