YouthBuild Columbus Community School

     Application

    Please note that the information obtained in this application is kept confidential and is shared only with YouthBuild Staff.  Information is complied for state reporting purposes.  You are to answer all questions on this application.  If you do not fully complete the application it will result in a delay in the processing of your application.  This will delay your enrollment into YouthBuild Columbus Community School.  If the question does not apply to you place N/A in the appropriate box. 

    Date of Birth

    Contact Information

    Please complete the following information in order that we may contact you.  Contacts could include mother, father, sister, brother, grandmother, grandfather or other relatives.  You must provide at least two (2) contacts.
    Contact 1
    Contact 3
    Contact 2
    Contact 4

    Education

    Please list the last three high schools you have attended and dates beginning with the most recent:
    Type N/A if you did not drop out

    Ohio Graduation Tests

    Type N/A if you have not taken any OGTs

    Medical History


    Personal Interest


    Family Information


    Please provide the following information regarding your child or children.  If you do not have any children, please skip this section.

    What are their names, ages, and relationship to you?






    Criminal Justice System
    If you answered yes to being on supervised probation or parole, you are to provide the names and telephone numbers of your probation/parole officer(s):

    Before click the submit button, please be sure that all of your information is complete and accurate.  You will still need to provide the school with the appropriate enrollment documents as outlined on the enrollment page.  You will also need to fill out the request for records document and the free and reduced lunch document, which can be downloaded and printed on the enrollment page.

    By clicking this submit button, you are acknowledging that the information included in this application is complete and accurate.  Your information will not be shared or sold to anyone outside of YouthBuild Columbus Community School.  YouthBuild Columbus Community School holds high standards for privacy when it comes to student information.  If you have any questions or concerns, please contact the school at (614) 291-0805. 
Submit
YouthBuild Columbus Community School does not discriminate on the basis of race, religion, gender, nationality, age disability or ethnic background.
*YouthBuild submits to random Drug Testing
YouthBuild Columbus Community School

1183 Essex Avenue • Columbus, OH 43201

(614) 291-0805 • f: (614) 291-0890



Site Credits


​This workforce product was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The

product was created by the recipient and does not necessarily reflect the official position of the U.S. Department of Labor. The

Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information,

including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness,

​usefulness, adequacy, continued availability, or ownership. This product is copyrighted by the institution that created it.


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    • AMP >
      • Ohio Means Jobs
    • Go Green!
    • Columbus Blessing Boxes Project
    • Social Media
    • Kroger Community Rewards
    • Volunteer for YouthBuild
  • Safe and Drug-Free School
  • Board Meetings
  • Annual Report
    • 2020-2021 Federal Programs Information
  • Coronavirus Updates and Information
  • Jobs
  • Home
  • About Us
    • Mission and Vision
    • Our History
    • School Safety
    • School Closing Policy
    • Calendar
    • Child Find Policy
  • Contact Us
  • Enrollment
    • Application
  • Programs
    • Academic Curriculum >
      • PBIS
      • College Credit Plus
    • AmeriCorps >
      • Schools Who Match
      • Projects
    • Career Technical Education >
      • Construction >
        • NCCER
        • Green Building
        • Homework
        • Construction Downloads
        • Construction Projects
      • Healthcare >
        • Phlebotomy
        • EKG Technician
        • CCMA
        • CSCC
      • Retail/Business/Customer Services
      • Information Technology
      • FLEX Credits
    • DOL
  • Our Family
    • YB Parents >
      • Parent Notice
    • YB Students >
      • Blog
      • Graduation
    • YB Alumni >
      • Where Are They Now?
      • YBCCS Alumni Video
      • Postsecondary Education
    • YB Staff
  • Community
    • AMP >
      • Ohio Means Jobs
    • Go Green!
    • Columbus Blessing Boxes Project
    • Social Media
    • Kroger Community Rewards
    • Volunteer for YouthBuild
  • Safe and Drug-Free School
  • Board Meetings
  • Annual Report
    • 2020-2021 Federal Programs Information
  • Coronavirus Updates and Information
  • Jobs