PUMBC YYAWD Ministry Workshop#1 Registration Form
Information requested is needed for registration of youth and young adults interested in attending the Workforce Development Workshop#1 via Zoom on 20 Mar 2021 from 1:00pm - 2:30pm. The Workshop will focus on “Careers”, and is open to high school, and college aged students at PUMBC, and in the local community. If you have any questions and concerns regarding this workshop and any activity hosted by this ministry, please contact Brother Alfred and/or Sister Marcia Mathews via email at:
mathewsm2@mathewsdesign.com
and at the ministry email address at:
yyawd@pumbchurch.org
* Required
Email address
*
Your email
1. Your full name:
*
Your answer
2. Your Grade:
*
Your answer
3. Your cell phone number:
*
Your answer
4. Parent(s)/guardian(s) names:
*
Your answer
5. Parent(s)/Guardian(s) email addresses:
*
Your answer
6. Parent(s)/ Guardian(s) Cell Phone Number(s):
*
Your answer
7. What is your current GPA?
*
Your answer
8. Have you decided on a college to attend?
Yes
No
Unsure
Clear selection
9. Which college have you decided to attend? Answer if you answered "Yes" to Question 9. Otherwise, type "N/A"
Your answer
10. Have you decided on possible majors/academic concentrations?
Yes
No
Clear selection
11. Which majors/academic concentrations have you decided on? Answer if you selected "Yes" for Question 10. Otherwise, type "N/A"
Your answer
12. Would you like guidance in deciding on possible majors/academic concentrations?
Yes
No
Clear selection
13. How will you pay for college?
Academic Scholarship
Band Scholarship
Parents/other relatives
Athletic Scholarship
Student Loans
ROTC/Military Scholarships
Work Study
Multiple Sources
Other
Clear selection
14. If you selected "Multiple Sources" or "Other" for Question 13, please specify. Otherwise, type "N/A"
Your answer
15. Do you have internet access at home?
Yes
No
Clear selection
16. Are you available to meet on Saturday from 10 am - 12Noon?
Yes
No
Maybe
Clear selection
17. Are a member of Progressive Union Missionary Baptist Church?
Yes
No
Clear selection
18. How can we contact you?
Your email
Your cell phone
Your home mailing address
Your parent(s) or guardian(s) cell phone
Your parent(s) or guardian(s) email addresse
Clear selection
Send me a copy of my responses.
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