For Future Kingz
***This is a short form to collect information for mentorship of prospective Kingz***
Email *
Name *
Current Age and Birthdate *
Address *
Phone number *
School last attended *
Highest education completed *
Are you military associated? *
What branch did you serve? *
Were you active or reserve? *
Are you currently still serving or discharged? *
If discharged, what is your status? *
Are you willing to provide personal information for a background check to work with and mentor young men? *
TSHIRT Size *
Applicant understands that CUBZ 2 KINGZ is an Equal Opportunity and Nonprofit  Organization committed to excellence for Black boys throughout the United States of America.  In order to ensure this application is acceptable, type with the application being  fully completed in order for it to be considered. I, the Applicant, certify that my answers are true and honest to the best of my knowledge.  I understand that any false or misleading information in my application or interview may result in me being placed on suspension or termination from the program.   *
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