YouthBuild Application Forms

Intake application

Orientation Documentation Status Checklist – Download

W-9 Form

Selection Service Registration Form

Parental Consent Form

Participant Exit Form

Student Handbook – Download

Health Questionnaire

Voter Registration Form

Mid-Term Participation Program Assessment

Participant Transital Plan

Photo Release Consent Form – Download

Equal Opportunity Form – Download

YouthBuild Trainee Manual- Download

YouthBuild Participant Time Record – Download

YouthBuild Individual Development Plan – Download

Alcohol and Drug Policy – Download

Case Note

EEOC Policy


SMRCDC Regional Memphis YouthBuild

SMRCDC Regional Memphis YouthBuild- Student Admissions Policy And Processes – Download

SMRCDC Regional Memphis YouthBuild Application Form

Please fill in the attached forms and send it back to [email protected]

Jeffrey T. Higgs – Executive Director
South Memphis Renewal Community Development Corporation &
LeMoyne-Owen College Community Development Corporation
P. O. Box 1353
Memphis, Tennessee 38101-1353
901.590.4825 fax (