Join the Community

Join the Community
How are you joining the Be The Proof Community? (Choose one)
Organization Information
Please tell us about your organization and how you would like to partner with Be The Proof Foundation.
Organization Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Street Address

Street Address

Street Address Line 2
CityStateZip Code
City
State
Zip Code
Organization Website
Organization Type
Contact Person Name
Title / Position
Organization Email
example@example.com
Organization Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Partnership Interests

Other
How can your organization support the community?
What resources or support are you seeking?
Would you like to schedule a partnership meeting?
- Section 1 — Parent & Youth Info
- Parent/Gaurdian Name
  
  First NameLast Name
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Youth Name
  
  First NameLast Name
- Youth Age Group
- School
- grade
- Preferred Program site
- Section 2 — Transportation
- How will your youth usually get to class?
- How will your youth usually get home?
- Are you open to carpool coordination with other parents?
- Section 3 — Expectations from this program
- What do you want MOST for your child from this program? (pick up to 3)
- If this program is successful, my child will be blanks* in 3 months.
- Section 4 — Behavior & Support Needs: My youth has difficulty with:
  
  Other
- Has your child been bullied?
- Has your child bullied anyone?
- My youth currently:
- Intake form
- Name
  
  First NameLast Name
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Birth Date
  
  MonthDayYear
  Date
- Age
- Section 5 — Family Stability Snapshot-in the past 6 months, our family has experienced:
- I would like referrals for:
- Section 6 — Participation & Skills . How can you plug in?
  
  Other
- Skills / resources I can offer:
  
  Other
- Other skills continued: blanks
- Section 7 — Donations / Uniform Interest - I am interested in:
- Section 8- Future programming interest
- Consent
- Date
  
  MonthDayYear
  Date
- SMS/ email messaging
- How would you like to get involved?
  
  Other
- Areas of Expertise
- Skills or Certifications
- Availability
- Have you volunteered with youth before?
- Why would you like to join the Be The Proof Community?
- Additional Comments
- Preferred method of communication
- How did you hear about us?
- Parent/Guardian signature
- Youth participant signature
- Please verify that you are human
- Signature & Consent
- Should be Empty:

Join the Community

Organization Information

Section 1 — Parent & Youth Info

Section 2 — Transportation

Section 3 — Expectations from this program

Intake form

Signature & Consent