For Future Cubz
***This is a short form to collect information for the young men that will be Cubz***
Email *
Name *
Current Age and Birthdate *
Address *
Phone number *
School last attended *
Current grade *
Applicant understands that CUBZ 2 KINGZ is an Equal Opportunity and Nonprofit  Organization committed to excellence for Black boys throughout the United States of America.  In order to ensure this application is acceptable, type with the application being  fully completed in order for it to be considered. I, the Applicant, certify that my answers are true and honest to the best of my knowledge.  I understand that any false or misleading information in my application or interview may result in me being placed on suspension or termination from the program.   *
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