YEP! Application

Youth Empowerment Program! (YEP!) Teen & Guardian Combined Application

Welcome to Habitat for Humanity of Forsyth County's Youth Empowerment Program (YEP)!

Mission

Fostering Youth to Empower their Futures.

Vision

An inclusive community led by values that uplift all. YEP! is about helping you find your power. This program is for YOU. Your choice to join YEP! let's us know you are committed to doing the work it takes to discover and use your power to direct your future. YEP! is also about FUN! We build fun into everything we do in a safe and respectful way.

Our process of fostering empowerment in youth is guided by 3 ideas:

Self-Discovery of passions, values, and character
Exploration through decision-making and accountability
Experience in pursuing passions and creating action plans for the future

What can you expect from YEP!

Respect for who you are.
A safe environment to discover, explore, and experience.
Accountability for actions.

What YEP! expects from teens

Show up! Be on time, participate, and be fully present (phones are rarely part of YEP!).
Help keep the program a safe place for all.
Consent is key - always respect personal boundaries.
Use respectful language.
Follow directions from adult leaders and volunteers.
Communicate with us when you feel unsafe, unwell, or need support.
Stay with the group; adult leaders must always know where you are.
Do not bring guns, knives, tobacco, vaping, or anything illegal.

Accountability

Choices matter. If actions are harmful or disrespectful, consequences may include:

Being sent home.
Removal from the program.
Contacting law enforcement.

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone

City *

State *

Zip *

Teen Application

Teen Participant Information

First & Last Name * The field First & Last Name is required.

Current Age * The field Current Age is required.

School Attending * The field School Attending is required.

Current Grade * The field Current Grade is required.

Date of Birth * The field Date of Birth is required.

Home Address * The field Home Address is required.

T-shirt size (XS-XXL) * The field T-shirt size (XS-XXL) is required.

How do you enjoy spending your free time? * The field How do you enjoy spending your free time? is required.

What would you like to learn about? * The field What would you like to learn about? is required.

What makes you unique? * The field What makes you unique? is required.

How did you hear about YEP!? * The field How did you hear about YEP!? is required.

Best way to keep you connected to program events? * The field Best way to keep you connected to program events? is required.

Teen Acknowledgment

I acknowledge receiving, reading, and agreeing to this document. I understand that violating it may result in removal from the program, and my parent/guardian must pick me up at their expense. * The field I acknowledge receiving, reading, and agreeing to this document. I understand that violating it may result in removal from the program, and my parent/guardian must pick me up at their expense. is required.

By checking “Yes” or “No,” I confirm that my selection accurately reflects my decision and is intended to serve as my electronic acknowledgment in place of a written signature. * The field By checking “Yes” or “No,” I confirm that my selection accurately reflects my decision and is intended to serve as my electronic acknowledgment in place of a written signature. is required.

Guardian Application and Consent

Guardian Name * The field Guardian Name is required.

Guardian Email (Check here for event information and updates.) * The field Guardian Email (Check here for event information and updates.) is required.

Guardian Phone Number * The field Guardian Phone Number is required.

Home Address (if different than above) The maximum length for the field Home Address (if different than above) is 500 characters.

Teen Cell Number *Teens will only receive text messages from an official YEP! program phone. * The field Teen Cell Number *Teens will only receive text messages from an official YEP! program phone. is required.

Teens Email (Use for teen communication, when appropriate.) *Teens will only receive emails from an official YEP! program email address. * The field Teens Email (Use for teen communication, when appropriate.) *Teens will only receive emails from an official YEP! program email address. is required.

Medical/Other Information

Does your teen have allergies or medical condition? * The field Does your teen have allergies or medical condition? is required.

If yes, please provide details below. * The field If yes, please provide details below. is required.

Family Information

Please refer to the document attached at the end of this application for income limits.

Does your family fall under the 80% of area median income? (If yes, transportation assistance may be available.) * The field Does your family fall under the 80% of area median income? (If yes, transportation assistance may be available.) is required.

Expectations for Guardians

YEP! is a teen centered space: guardians are included for special events
Stay connected and provide feedback to help support your teen's needs.
Invest time to understand the program and ask questions.
Note: YEP! leaders are not specifically trained for extensive behavior management but will discuss appropriate accommodations.
Teens are expected to attend CORE events that build the foundation of the program.

Disciplinary Actions (may include)

Teen being sent home.
Teen barred from future YEP! events/activities
Guardian held responsible for property damages.
Youth released to law enforcement for significant violations of law.

Guardian Consent

I acknowledge receipt of this document and agree to all items below:

I give permission for my child to participate in Habitat's Youth Empowerment Program! (YEP!) and communicate with staff via Habitat program phone.

I give permission for Habitat to provide transportation and for my child to participate in third-party programming.

I will pick up my child on time at the close of each event or ensure alternate transportation.

If someone other than myself picks up my child, I will notify staff in advance.

I consent to my teen receiving texts and emails from official YEP! program phones and email addresses.

Waiver and Release of Liability

Release: Habitat is not responsible for accidents, injuries, or damage that my occur while participating in YEP!. I waive and release Habitat and its affiliates from any related liability or claims.

Insurance: Habitat carries limited medical liability insurance. Families are responsible for adequate personal insurance.

Media Release: Habitat has the right to use photographs, video, and audio recordings of participants for program-related purposes.

Governing Law: This release is governed by North Carolina law.

As the parent/guardian, I confirm I have read and understand all terms in this application, and by checking Yes or No, I provide my consent or non-consent in place of my signature.

Document

Please see the document below for income limits.

2024HUDIncomeLimits.pdf