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Registration Form

This registration form is for anyone who desires to participate in the following services and training opportunities.  All fields are required in order to register.



-   2021 AFTER SCHOOL (HW help/tutoring for ages 6 - 15)

-   Summer Employment (teens ages 16-17)

-   Phenomenal Women in STEM Pre-Apprenticeship (18 & up)

-   Pre-Apprenticeship Training (teens 16-19 & adults 20 & up)


At our current location, we know how important your safety is during the COVID-19 pandemic.  We adhere and are following all federal and state guidelines.  MASKS are required to enter if you visit our office.


Please click the link below for more information on the procedures in place to ensure safety for all and if there are any guideline changes.


Stay safe and have a great day!


One of our reps will be in touch with you shortly to finalize and approve your app.


Thanks for submitting and STAY SAFE! 

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One community and one family at a time.