Young Men of Excellence Program Interest Form
Thank you for your interest in the Young Men of Excellence Program offered by the Charles Hamilton Houston Foundation, Inc.

The Young Men of Excellence Program is a FREE college readiness and career exploration program designed to motivate and guide boys of color, grades 6 through 12, to explore their interests, skills and passions to make informed choices about their future.
 
Our program works with each scholar to build confidence and skills, develop a plan to pursue the career of their dream and close the opportunity and workforce readiness gaps to expand career pathways and economic opportunities.

The College & Career Academy consists of the following:
=> Career Competency Workshops on the first and third Saturdays from 9:00am until 1:00pm.
=> Academic Tutorial Sessions on the second and fourth Saturdays from 10:00am until 12 Noon.
=> Wellness Wednesdays each week are conversations with scholars to assess their overall well-being, gauge their satisfaction with the Program and gather feedback on their experiences and how to better assist and support them from 6:00pm until 8:00pm through Zoom, calls and/or text messaging.
=> College Conversations on the second Thursday from 6:00pm until 7:00pm on Zoom.
=> Career Conversations on the fourth Thursday from 6:00pm until 7:00pm on Zoom.
=> Social Gathering on the last Saturday from 1:00pm until 4:00pm for fun and fellowship. (*Scholars must have attended Career Competency Workshops, Wellness Wednesdays, College Conversations & Career Conversations for the month.)

Scholars are required to attend all Career Competency Workshops, Wellness Wednesdays, College Conversations and Career Conversations.  Academic Tutorial Sessions are optional depending on grades and whether the scholar requires assistance.

Scholars are required to wear masks regardless of vaccinations status.   

The Charles Hamilton Houston Foundation, Inc., is a 501(c)(3) tax-exempt nonprofit organization which provides a continuum of intensive strategy-centered, skill-based and career-focused programs, service, and mentorship to facilitate academic, leadership and professional development to prepare boys and young men of color for academic success and the competitive workforce.        

For more information, visit, www.CharlesHamiltonHoustonFoundation.org.

If you have questions regarding the Young Men of Excellence Program, email, ymoe@charleshamiltonhoustonfoundation.org or call/text 919-213-0962 

*NOTE: Type N/A for any question, not applicable.
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Student Information
First & Last Name: *
Date of Birth: *
(ex. mm/dd/yyyy)
MM
/
DD
/
YYYY
Age: *
Home Address: *
 (ex. street, city, state, & zip code)
Email Address: *
Mobile Number: *
(ex. 919-213-0962)
Instagram Username: *
(Type N/A if you do not have Instagram)
Twitter Username: *
(Type N/A if you do not have Twitter)
School: *
Grade Level: *
Grade Point Average: *
(Type N/A if you do not know the Grade Point Average)
If your son participates in a mentoring program, specify the name of the Program. *
(Type N/A, if your son does not participate in a mentoring program)
What other programs or sport teams is your son involved with?
Do you anticipate any conflicts with the Program schedule? If so, please explain. *
Parent/Guardian/Caregiver #1 Information
First & Last Name *
Address: *
 (i.e. street, city, state, & zip code)
Email Address: *
Mobile Number: *
(ex. 919-213-0962)
Parent/Guardian/Caregiver #2 Information
(Type N/A if a single Parent/Guardian/Caregiver)
First & Last Name *
Address: *
(i.e. street, city, state, & zip code)
Email Address: *
Mobile Number: *
(ex. 919-213-0962)
How did you hear about the Young Men of Excellence Program? *
Why are you interested in your son participating in the Young Men of Excellence Program? *
Are there any particular aspects of your son's character or circumstances that you feel the Young Men of Excellence Program should be informed about?  If yes, please provide an explanation. *
Commitment Agreement
I understand and agree that if my son is selected, I am making a commitment to partner with the Young Men of Excellence Program offered by the Charles Hamilton Houston Foundation, Inc. through college and career to support my son's academic and professional goals and success. *
Required
I understand and agree that if my son is selected, my son will fully commit to participate and attend all of the College & Career Academy which includes: 
(1) Career Competency Workshops on the first, third and fifth (if applicable) Saturdays from 9:00am until 1:00pm; 
(2) Wellness Wednesdays each week from 6:00pm until 8:00pm on Zoom, calls and/or text messaging;
(3) College Conversations on the second Thursdays from 6:00pm until 7:00pm on Zoom;
(4) Career Conversations on the second and third Thursdays from 6:00pm until 7:00pm on Zoom; and
(5) Social Gathering on the last Saturday from 1:00pm until 4:00pm for fun and fellowship.
 *
Required
I understand and agree that if my son is selected, Academic Tutorial Sessions are mandatory if my son has a grade point average and/or any class grade below, "C".  Academic Tutorial Sessions are held on the second and fourth Saturdays from 10:00am until 12 Noon. *
Required
I understand and agree that if my son is selected, I will regularly communicate with staff offered by the Young Men of Excellence Program of the Charles Hamilton Houston Foundation, Inc. regarding my son's personal, social, academic and professional progress in addition to sharing other relevant information about occurrences in his life. *
Required
I understand and agree that if my son is selected, I will attend parent meetings, timely submit my son's progress reports and report cards, and share other achievements and successes for highlight by the Program. *
Required
I understand and agree that if my son is selected, the Program is designed to maximize my son's growth, development and success, therefore, failure to adhere to the Commitment Agreement or three consecutive absences will lead to my son being considered for disenrollment from the Program. *
Required
I understand upon submission of the Interest Form and completion of the Intake Meeting, my son will receive an email (parent copied on the email) with instructions to complete a Career Success Plan and schedule a presentation to the staff of the Young Men of Excellence Program offered by the Charles Hamilton Houston Foundation, Inc. *
Required
I understand and agree that if me and my son decide to enroll in the Young Men of Excellence Program, my son must complete and present a Career Success Plan to receive the Student Application to enroll in the Program. *
Required
Upon completion of the Interest Form, the staff of the Young Men of Excellence Program will contact you to schedule an Intake meeting with you and your son to discuss the requirements of the Program and the needs of your son.
Completion of the Interest Form does not constitute enrollment in the Young Men of Excellence Program offered by the Charles Hamilton Houston Foundation, Inc.
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