Application for MissionSAFE

Thanks for your interest in MissionSAFE! To get started, please fill this out the best you can. After we receive your application, we’ll set up a phone call with you to get to know you better, and to answer any questions you might have.

Date

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Application for MissionSAFE

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Please tell us where you're currently living

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What's your date of birth?

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Did you hear about MissionSAFE from somebody else? Let us know if it was a friend, family member, court recommendation or program referral.

Youth Leadership Service Corps (YLSC) ages 14-24: Designed to help young people develop their leadership, communication, problem-solving, social, and life skills.Futures Plus ages 14-18: For young people who have "stalled" or dropped out of school, or have experienced violence, gang or court involvement (DYS), or incarceration. Helps improve leadership abilities, conflict resolution, healthy social and life skills, and job readiness.Invest Now! ages 19-24: Provides extra support as well as skills, learning, job readiness trailing, and paid internships and apprenticeships.Power Boxing and Fitness ages 14-24: Helps to improve your physical fitness and boost your self-confidence so you can become more disciplined and focused. And it's fun!Urban Excellence Network (case managed)Explorers' Academy ages 11-13

Which of the programs sounds most interesting to you?

What other types of activities do you like? Tell us about things you like to do, or things you think about and would like to try. Some examples: cooking or baking, flower arranging, hiking, swimming, reading, writing stories, sports, school, computer programming, theatre, painting, going to the library, museums, fashion design, singing - or something else! What's interesting to you?