YOUTH EMPORIUM, INC.

"Rebuilding our communities one child at a time."

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Student Enrollment
Did you know that it's actually cool to be smart and earn a living?  Come join us and be part of a new gang.  The members at Youth Emporium want to be around people just like them.  A future with real promise is far better than one behind bars.  Let us help you to help yourself to everything life has to offer!  When you make it big don't forget to come back and see us sometime. :o)

It is very  convenient to  apply  to  Youth  Emporium.  You can  be  referred  by  a partnering  agency or a school counselor, or you can simply apply online yourself.  Below you will find our Confidential Online Registration Form.  Once  you submit the form, you will be contacted by a Youth Emporium staffer to get more detailed information, invite you in for a face-to-face interview, and to complete the enrollment process. 

If you qualify for free admission to Youth Emporium, you won't have to pay for your basic Membership.  If you choose to participate in some of our other activities not included in the basic membership plan, you may have to pay a small fee and sometimes that can be waived if one of our partner agencies or contributors, is willing to sponsor you for that activity.  Either way you look at it, its worth the time to complete the Confidential Online Registration Form.  Youth Emporium will utilize its best efforts to make your involvement in its programs as cost effective as possible, and more often than not, it will be absolutely free. 

Be sure to sign up for one of the Youth Emporium Social Clubs below.  Thank you for completing the form.  The decision to contact us may be the best life changing decision you ever made.  You will hear from us real soon. 



CONFIDENTIAL ONLINE REGISTRATION FORM

First Name
Middle Name
Last Name
Date of Birth
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
Cell Phone
E-mail Address
MySpace Page Info
FaceBook Page Info
How did you hear about us?
School You Attend
Have you graduated?
If not, do you have a GED?
Why are you applying?
Comments
Young Biz Owners Club
International Club
Visual/Performing Arts Club
Think Tank
Student Volunteer Corps


YOUTH EMPORIUM, INC.
Mailing Address:
Post Office Box 6665 - Douglasville, GA 30154 USA

Center Address:
8323 Office Park Drive - Douglasville, GA 30135 USA

(678) 715-8177 Tel.
(678) 815-8711 Fax
or
(866) 960-1544


PLEASE EMAIL US WITH ANY QUESTIONS OR CONCERNS. THANK YOU!
youthemporium@aol.com

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