YouthBuild Philly Site Visit Registration
Please use this form to register for your visit to YouthBuild Philly. If you have any questions, please contact Juanita Miller at
Position Title and Company/Organization
How did you hear about YouthBuild Philly?
Which date are you planning to visit YouthBuild Philly?
Wednesday, February 5, 2020 - 8:00-10:00 am
Tuesday, March 17, 2020 - 8:30-10:30 am (*please note: this visit will take place on a worksite*)
I am not able to attend any of these dates, but please keep me posted as more dates are announced
Will you be bringing any guests? If yes, please include their name, email and title/organization below.
Which specific program component(s) are you most interested in learning about? (Please only choose up to 3)
Case Management/Counseling Support
Postsecondary Career Development
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This form was created inside of Youthbuild Philadelphia.