2023 LIVE B4U DIE SUMMIT
2023 LIVE B4U DIE SUMMIT
About Us
Leadership
Board of Directors
CCMA STAFF
CCMA Statement on COVID-19
APPLICATION FOR SUPPORT SERVICES
TESTIMONIALS
CCMA PROGRAMS
Priority Male Initiative
>
Employer Partnership
INTERFAITH LEADERSHIP COALITION
PRIORITY MALE EMPOWERMENT NETWORK
APPLY FOR SERVICES
CCMA 14th ANNIVERSARY
THE SAMUEL BRADY GREENE LEGACY FUND
Contact
Gallery
CCMA VIRTUAL OPEN HOUSE
RICE AWARDS 2019
Interfaith Summit Gallery 2017
PROPEL GALLERY
PROPEL VIRTUAL ACADEMY
PROPEL VIRTUAL ACADEMY OVERVIEW
Sponsors & Partners
How You Can Help
Priority Newsletter
>
Press
Statistics
CORPORATE RELATIONS PARTNERSHIP
CCMA CHAMPION OF HOPE
Donate Now
Mailing List
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THINK TANK SURVEY
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CCMA VIDEO
APPLICATION FOR SUPPORT SERVICES
If you are a young man of color, 18-28 years of age, please complete the Application for Support Services form and you will be considered for related benefits, including free job readiness training, mentoring, computer equipment, and other services, under the Priority Male Initiative.
If additional information is needed, please call 404-935-5859.
*
Indicates required field
Name
*
First
Last
Phone Number
*
Emergency contact
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Age
*
Gender/Sex
*
Female
Male
Education
*
Income
*
Source
*
Employment Status
*
Special needs:
*
Training
Employment
Mentoring
GED
Other
Do you need a computer?
*
Yes
No
Do you need computer training?
*
Yes
No
Why do you need a computer?
*
Are you interested in receiving a free laptop computer?
*
Yes
No
If so, are you willing to sign up for the free computer training?
*
Yes
No
Signature
*
Submit
2023 LIVE B4U DIE SUMMIT
2023 LIVE B4U DIE SUMMIT
About Us
Leadership
Board of Directors
CCMA STAFF
CCMA Statement on COVID-19
APPLICATION FOR SUPPORT SERVICES
TESTIMONIALS
CCMA PROGRAMS
Priority Male Initiative
>
Employer Partnership
INTERFAITH LEADERSHIP COALITION
PRIORITY MALE EMPOWERMENT NETWORK
APPLY FOR SERVICES
CCMA 14th ANNIVERSARY
THE SAMUEL BRADY GREENE LEGACY FUND
Contact
Gallery
CCMA VIRTUAL OPEN HOUSE
RICE AWARDS 2019
Interfaith Summit Gallery 2017
PROPEL GALLERY
PROPEL VIRTUAL ACADEMY
PROPEL VIRTUAL ACADEMY OVERVIEW
Sponsors & Partners
How You Can Help
Priority Newsletter
>
Press
Statistics
CORPORATE RELATIONS PARTNERSHIP
CCMA CHAMPION OF HOPE
Donate Now
Mailing List
Events
THINK TANK SURVEY
Videos
CCMA VIDEO