9 TO THRIVE Application & Waiver Intake application and sign-up form for the 12-week paid youth and young adult workforce development, mentorship, fitness, and job readiness program operated by Be The Proof Foundation. Participants ages 13–24 should complete all applicable sections. Parent/guardian information, signature, and consent are required for minors. Participant Information Full Name* First NameMiddle NameLast Name Date of Birth* -Month -DayYearDate Age* Gender* MaleFemale Phone Number Please enter a valid phone number.Format: (000) 000-0000. Email Address example@example.com Home Address* Street Address Street Address Line 2CityState / ProvincePostal / Zip Code Please Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Nagorno-Karabakh Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Turkish Republic of Northern Cyprus Northern Mariana Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Republic of the Congo Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia South Sudan Spain Sri Lanka Sudan Suriname Svalbard eSwatini Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Transnistria Pridnestrovie Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands Isle of Man US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country City* State* ZIP Code* Emergency Contact Name* First NameMiddle NameLast Name Emergency Contact Phone Number* Please enter a valid phone number.Format: (000) 000-0000. Relationship to Participant* Parent/Guardian Information Parent/Guardian Full Name* First NameMiddle NameLast Name Parent/Guardian Phone Number* Please enter a valid phone number.Format: (000) 000-0000. Parent/Guardian Email* example@example.com Parent/Guardian Signature* Program Interest & Workforce Readiness Career Field Interests* Fitness & WellnessBoxing & SportsEntrepreneurshipTechnologyMedia & Content CreationTradesCommunity OutreachCustomer ServiceHealth & WellnessLeadership & MentorshipOther Skills You Want to Improve Have You Ever Had a Job Before?* YesNo Do You Currently Attend School?* YesNo Why Are You Interested in Joining 9 TO THRIVE?* Document Uploads Birth Certificate* Upload a FileDrag and drop files here Choose a file Cancelof State ID or School ID* Upload a FileDrag and drop files here Choose a file Cancelof Resume Upload a FileDrag and drop files here Choose a file Cancelof Parent Consent Form Upload a FileDrag and drop files here Choose a file Cancelof Additional Supporting Documents Upload a FileDrag and drop files here Choose a file Cancelof Communication Opt-In Consent to receive text messages from Be The Proof Foundation* I agree Consent to receive emails from Be The Proof Foundation* I agree Signatures Participant Signature* Parent/Guardian Signature Date Signed* -Month -DayYearDate Submit ApplicationSubmit Application Should be Empty:
