2022 Registration: FBB Internship

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Registration Form 2022

Today's Date *

YYYY

Participant's Name: *

Participant's Phone Number *

Parent/Guardian Name: *

Parent/Guardian Phone Number *

New or Returning Participant *

Address: Street, City, State and Zip Code *

Parent's E-Mail Address: *

County

Participant's Sex *

Age: *

Participant's Date of Birth *

YYYY

Race *

Number of People in Household? *

Number of Parents in household? *

Parent's Date of Birth *

YYYY

Household Annual Income: *

Name of School/University *

City and State of School/University *

Grade/Classification: *

Shirt Size *

Pants Size *

Emergency Contact Name (other than parent/guardian) *

Emergency Contact Telephone (other than parent/guardian) *

Emergency Contact Relationship *

Describe the type of career you would like to have when you complete school: *

Do you agree to share photos, videos and write stories of your intern experience for the website and social media platforms? *

Do you agree to meet all of the requirements to become an intern? (Character Playbook Certification and Net Generation and Safe Play Course with Certification, in addition to: training in financial literacy, educational software and internship. Note: if NO, you do not meet the standard requirement to become an intern.) *

Would you like to be a Volunteer in the Internship Program? (question to Parent) *

Electronic Signature (Parent/Guardian if under 18) *

Submit

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