Registration Form

BHA YouthBuild Open Registration

Come visit us at 1515 Fairfax Avenue
or
Contact us:
Tomeka Robinson, YouthBuild Project Manager 205-481-4420 ext.222 or beshayouthbuild@gmail.com
Tamrah Tucker, YouthBuild Case Manager, 256-342-8678 or tamrah.tucker@besha.org

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Email Address

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Name

Housing Community

Other Housing Community

Phone Number

Can this number receive texts?

Yes

Relationship to Applicant

Certification of Interest?

Construction

Healthcare (ex. CNA)

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BHA YouthBuild Open Registration

INFO

HOURS

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