Interested applicants must complete this form along with the application and submit to Youthbuild upstate adult education
Yes No Dont know
3. I want to go back to school to work on getting my GED
8. I am ready to try and improve my math and reading
10. I am interested in becoming involved in community and learning
Address
Date of Birth* (mm/dd/yy)
Date*
(mm/dd/yy)
Please continue to the 3-page Application starting on the next page. Applications for the program are being accepted at:
Dennis C.Bausman,Youthbuild Upstate Director,126 Lee Hall Box 340507 SC 29634-0507.
Ph: 864.656.3919 Fax: 864.656.7542 Cell:864.247.2046 or email dennisb@clemson.edu