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Skill Based Programs

Please fill out the form below if you would like to have your child join one of our skill based programs. You may also use this form if you have general questions about our programs.

If you're a parent or child interested in our counseling services, you should fill out this form instead.


Your Email Address *
Parent Name(s) *
Child Name(s)

Address
City
State
Zip
Home Phone *
Work Phone
Cell Phone
Employer
Contact Preference
Choose the best place to contact you.
Services you're interested in for your child Women Career Exposure Opportunity (WCEO)
Girl Power With Pennies (GPWP)
Business Women in Training (BWIT)
Females Obtaining College & University Success ( FOCUS)
Challenge the Norm ( males only)
The Gender Project ( males only)
Early Fatherhood

Please check all that apply
Have you ever contacted CBSBB before? Yes   No
If so, when?
Approximate dates are OK.
Have you ever joined a Skill Based Program before? Yes   No
If so, when?
Approximate dates are OK.
How did you learn about CBSBB?

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