Black Suit Initiative Membership Application-LYH
PLEASE READ BEFORE APPLYING:

The Black Suit Initiative(BSI)  is a FREE leadership and community engagement program for middle and high school young men based in Greensboro, NC. This program allows members the opportunity to improve academic performance, explore their career interests, and participate in positive team building exercises.  After the successful completion of the first year, young men earn a full black suit. The suit is replaced as the student grows.  Members are allowed to remain in the organization until they graduate from high school.

In the 2023-2024 school year, our program seeks to begin expanding into the Lynchburg, VA area. Our first year will be a pilot program which will allow us the opportunity to learn the dynamics of the city. We are looking for 25 rising 6th-10th grade students to serve as our community advisors/ambassadors for our program.

Meetings will take place on Saturday mornings between the hours of 8:45AM-1:30PM. Times will vary based upon the activity. Meetings will be in person and virtually.  Excellent attendance and active participation are necessary to remain in the program.

This application must be completed by the student and submitted by no later than Saturday, July 1, 2023  by 11:59PM.  All applicants will be contacted for an in person interview. If you have any questions, please contact Evainna Ross at 336-549-0146 or evainnaross@gmail.com.

Sign in to Google to save your progress. Learn more
Do you participate in a sports league which practices and/or competes on Saturday mornings during the fall/winter/spring? If your answer would be yes, please do NOT continue with this application. Members are only allotted a few absences each year and it is difficult to manage these 2 obligations. Thank you for your interest.

If you clicked "no",  you may continue.
*
Required
What is your first and last name? *
What is your email address? *
Name of parent(s) /guardian(s) with whom you live *
Provide the email address of one of your parents/guardians *
What is the best phone number to contact you to schedule an interview? *
What school will you attend next school year? *
What grade will you be in next school year? *
Do you participate in any extra-curricular school activities (i.e. clubs, sports, volunteering) ? If so, list your involvement. *
How would you define the word "leader"? *
Can you name someone in your life you feel is a good leader? Why do you feel that way? (please answer in at least 2 sentences) *
How did you hear about our organization? *
If you could meet anyone in the world, who would it be and why? *
If we were to ask your teachers about you, how would they describe you? *
What job would you like to have as an adult? Why? (please answer in at least 2 sentences) *
Why do you think you would be a good member in The Black Suit Initiative? (please answer in at least 2 sentences) *
What is one goal you achieved this school year of which you are most proud?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy