Work-Based Learning Program

Ubuntu Leadership Academy Work-Based Learning Program allows youth to apply their learning through career exposure and real-like work experiences. The goal of our program is to foster employable skills, promote entrepreneurship and offer practical work experience. Many of our youth serve a tutor or assistant soccer coaches.

Please complete this short form if you are a company or organization interested in participating in our program or if you are a youth wanting to enroll. If you have any questions, please call our office at 515-343-0149. 

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Organization Participation
Organization Name  *
Contact Name:
*
Phone Number:
*
Email Address
*
My organization focused on the following  Career Pathway:
Clear selection
I am interested in the Following:
Student Enrollment
You must be 14 years old or older, enrolled in the Ubuntu Leadership Academy and be chosen by Genesis Youth Foundation Leadership to participate in this program.
Legal Last Name:
Legal First Name:
Gender
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School
Grade
Date of Birth
MM
/
DD
/
YYYY
Primary Guardian Type:
Clear selection
Last Name:
First Name:
Street Address
City:
Home Phone #:
Cell Phone #
Email
Submit
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