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I'm ready to make a change!

We start accepting participants in winter of their 8th grade year (about 13 years of age) through summer prior to 12th grade. You don't have to be enrolled in school to apply. You just need the desire to be at BYEP!

Name *
(If it's summer, the grade you will be in this fall.)
Youth applicant's birthday *
Youth applicant's birthday
Youth Applicant's Phone #
Youth Applicant's Phone #
(if you don't have a phone just leave this blank)
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian's Phone # *
Parent/Guardian's Phone #
Okay, now we're gonna ask a ton of questions about you. we just ask you be honest!
There is a lot of conflict in my family *
Have you ever failed a class in school? *
I use drugs and/or alcohol *
Are you eligible for free or reduced lunch? *
Would you describe yourself as a person that gets into a lot of trouble? *
Have you ever been in trouble with the law? *
Have you ever been in a residential treatment facility? *
Does your family have a history of getting into trouble? *
Have you ever been suspended or expelled from school? *
In your opinion, do your parents (guardians) do a good job raising you? *
How will BYEP be better because you are part of it?
If no, simply type nope.