Enrollment Interest Form

Interested in enrolling at YouthBuild Charter School of California or know someone who may be interested? Fill out this form and we will contact you with more information on enrolling at one of our YouthBuild or workforce program partners.

Please note, filling out this form does not guarantee that you will be able to enroll at our school. In order to enroll at YouthBuild Charter School of California, you must first be accepted as a member at one of our 18 YouthBuild or workforce partner programs.

This form is only for YouthBuild Charter School of California. If you are outside of California and looking for a YouthBuild program near you, please go to YouthBuild Global's website.

Required fields marked with an asterisk *

Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Select the option that best applies to you.*

Answer required for "Select the option that best applies to you."

I'm a potential student looking to enroll.

I'm a parent/guardian of a potential student looking to enroll.

I am a counselor/social worker/advocate of a potential student looking to enroll.

I am a parent, family member, or community member looking for resources

Other:

What pronouns do you use?

Answer required for "What pronouns do you use?"

He/Him

She/Her

They/Them

Other:

If you are filling this out on a potential student's behalf, what is the student's name? (Leave blank if you are a potential student filling this form out for yourself.)

Answer required for "If you are filling this out on a potential student's behalf, what is the student's name? (Leave blank if you are a potential student filling this form out for yourself.)"

What is your email address?*

Answer required for "What is your email address?"

What is your phone number?*

Number Required

What is the age of the student looking to enroll?*

Answer required for "What is the age of the student looking to enroll?"

What is the zip code of the student looking to enroll? (California zip codes only)*

Answer required for "What is the zip code of the student looking to enroll? (California zip codes only)"

What is your preferred method of communication?*

Answer required for "What is your preferred method of communication?"

Phone Call

Text

How did you hear about YouthBuild Charter School of California?*

Answer required for "How did you hear about YouthBuild Charter School of California?"

Our 16 YouthBuild program partners offer a variety of different job training and work experience opportunities. Check any that may be of interest to the potential student:

Answer required for "Our 16 YouthBuild program partners offer a variety of different job training and work experience opportunities. Check any that may be of interest to the potential student:"

CAMT (Certified Apartment Maintenance Technician) Training

Construction Training

Culinary Arts/ Hospitality Training

Environmental/ Conservation Corps

Film/ Creative Arts

Music/ Recording Arts

Paid work experience opportunities

Support with finding a job or internship

Other:

We are a community school. Check the boxes below if you are interested in any of the following community resources:

Answer required for "We are a community school. Check the boxes below if you are interested in any of the following community resources:"

ESL (English as a Second Language) Classes

Childcare Options

Housing Support

Financial Support Services

Legal Assistance

Other:

If you have any questions for us or want to provide any more details about yourself, you may include them below.

Answer required for "If you have any questions for us or want to provide any more details about yourself, you may include them below."

Please fix the highlighted areas below before submitting.

Enrollment Interest Form