SOB: Rite of Passage Enrollment Standing On Business Enrollment Step 1 of 13 7% PhoneThis field is for validation purposes and should be left unchanged.SECTION 1: PARENT/GUARDIAN INFORMATIONFull Legal Name(Required) First Last Preferred NameDate of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Relationship to Child:Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Secondary PhoneEmail(Required) Preferred Contact Method: Phone Call Text Message Email Best Time to Contact: Morning (8am-12pm) Afternoon (12pm-5pm) Evening (5pm-8pm) SECTION 2: SON(S) BEING ENROLLEDName(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Age(Required)Current School(Required)Current Grade Level(Required)School Enrollment Status:(Required) Enrolled Dropped Out GED Program Graduated Homeschool Is your son currently employed?(Required) Yes, Full-Time Yes, Part-Time No If employed, where?Does your son have a driver's license?(Required) Yes No Learner’s Permit Does your son have reliable transportation?(Required) Yes No Has your son ever been arrested?(Required) Yes No Is your son currently on probation or parole?(Required) Yes No Does your son have any children?(Required) Yes No If yes, how many?Does your son currently live with you?(Required) Yes No Part-time Enrolling another son(Required) Yes No Section 2: Additional SonName(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Age(Required)Current SchoolIf applicableCurrent Grade LevelIf applicableSchool Enrollment Status:(Required) Enrolled Dropped Out GED Program Graduated Homeschool Is your son currently employed?(Required) Yes, Full-Time Yes, Part-Time No If employed, where?Does your son have a driver's license?(Required) Yes No Learner’s Permit Does your son have reliable transportation?(Required) Yes No Has your son ever been arrested?(Required) Yes No Is your son currently on probation or parole?(Required) Yes No Does your son have any children?(Required) Yes No If yes, how many?Does your son currently live with you?(Required) Yes No Part-time SECTION 3: HOUSEHOLD COMPOSITIONTotal number of people living in household:(Required)Number of children under 18:(Required)Number of children ages 18-26:(Required)Marital Status:(Required) Single Married Divorced Widowed Separated Is the father of your child(ren) present in the home?(Required) Yes No Other Is the father of your child(ren) actively involved in their lives?(Required) Yes No Somewhat Does the father pay child support?(Required) Yes No Partial Court-ordered by not paying Other adults in the home who help with parenting (relationship): SECTION 4: HOUSEHOLD INCOME & EMPLOYMENTParent/Guardian Employment Status:(Required) Employed Full-Time Employed Part-Time Unemployed Disabled Retired Employer Name:(Required)Occupation/Job Title:(Required)Annual Household Income (before taxes):(Required)Under $15,000$15,000 – $24,999$25,000 – $34,999$35,000 – $49,999$50,000 – $74,999$75,000 – $99,999$100,000 or morePrefer not to answerNumber of income earners in household: SECTION 5: PUBLIC ASSISTANCE & BENEFITSCheck all that currently apply to your household:(Required) SNAP / EBT (Food Stamps) TANF (Temporary Assistance for Needy Families / Cash Assistance) WIC (Women, Infants, and Children) Section 8 / Housing Choice Voucher Public Housing / Subsidized Housing Medicaid Free or Reduced School Lunch Program SSI / SSDI (Supplemental Security Income / Disability) Unemployment Benefits Child Support Received None of the above SECTION 6: HEALTHCARE & INSURANCEDoes the parent/guardian have health insurance?(Required) Yes No If yes, type of insurance (Parent/Guardian): Employer-Provided Medicaid Medicare ACA Marketplace Other Does the son(s) being enrolled have health insurance?(Required) Yes No If yes, type of insurance (Son): Parent’s Plan Medicaid Employer-Provided Other Does your son have a primary care doctor?(Required) Yes No Does your son have any diagnosed conditions? (physical, mental health, learning disability)(Required) Yes No If yes, please list:Is your son currently taking any medications?(Required) Yes No Has your son ever received mental health services (counseling, therapy)(Required) Yes No SECTION 7: SON'S CURRENT CHALLENGESCheck all that currently apply to your son:(Required) Struggling in school academically Behavioral issues at school Suspended or expelled from school Dropped out of school Difficulty finding or keeping employment Involvement with negative peers Gang involvement (current or past) Substance use concerns (alcohol, marijuana, other drugs) Anger management issues Low self-esteem / lack of confidence Lack of positive male role models Trauma from exposure to violence Grief / loss of friend/family member Current legal troubles Father abandonment / absence None of the above Unique Challenge Not Listed Above: SECTION 8: GOALS & EXPECTATIONSWhat do you most want for your son's future?(Required)What concerns you most about your son right now?(Required)What have you already tried to help your son?(Required)On a scale of 1-10, how committed are YOU to this process?(Required)Please enter a number from 1 to 10.On a scale of 1-10, how committed is your SON to this process?(Required)Please enter a number from 1 to 10.Is your son aware he is being enrolled?(Required) Yes No Somewhat Does your son want to participate?(Required) Yes No Somewhat Unsure SECTION 9: HOUSING & PROPERTYCurrent Housing Status:(Required) Own Rent Live with Family Shelter/Transitional Other If renting, monthly rent amount: $(Required)How long at current address?(Required)Does anyone in your household currently own property (land or home)?(Required) Yes No Has your family ever owned property?(Required) Yes No Is homeownership a goal for your son?(Required) Yes No Unsure SECTION 10: EMERGENCY CONTACTEmergency Contact Name:(Required)Relationship to Family:(Required)Phone Number:(Required)Email Address:(Required) SECTION 11: HOW DID YOU HEAR ABOUT US?Check one:(Required) Facebook/Instagram TikTok Radio Church Announcement School or teach referral Friend or family member Community Event Flyer/Poster Web Search (Google, etc.) Other:If referred by someone, please provide their name: SECTION 12: AGREEMENTS & COMMITMENTSBy submitting this application and the $49.95 Pre-Initiation Commitment Fee, I understand and agree to the following:(Required) I understand Standing on Business™ requires my son to complete TWO prerequisites: Solid Foundation Certification AND ownership of land or a home. I understand this is a long-term commitment, not a one-time program. I commit to supporting my son’s participation and attending required parent sessions. I understand the $49.95 is a non-refundable commitment fee. I give permission for my son to participate in program activities, field trips, and media documentation (photos/video). I authorize Carter Empowers / Team BMW to contact me via phone, text, and email regarding the program. I certify that all information provided is true and accurate to the best of my knowledge. Terms and Conditions(Required)By submitting the Standing on Business™ Parent / Guardian Initial Application – Pre-Initiation Commitment Form, I acknowledge and agree to the following: Purpose of Information I understand that all information provided in this application is collected to assess household readiness, determine appropriate placement, and assist in developing the most effective pathway for success for each participant. This information will be used to build a personalized plan aligned with the Standing on Business™ Rite of Passage framework. Accuracy of Information I affirm that the information I have provided is true, complete, and accurate to the best of my knowledge. I understand that inaccurate or incomplete information may affect eligibility or placement within the Standing on Business™ process. Use and Protection of Information I understand that the information submitted will be handled with care and used solely for program planning, assessment, communication, and participant support purposes. Information will not be sold or shared outside of Standing on Business™ and its authorized partners except as required by law. Understanding the Commitment Fee I acknowledge that the $49.95 Pre-Initiation Commitment Fee confirms seriousness, intent, and readiness to participate in the Standing on Business™ process. I understand that this fee supports administrative review, assessment, and planning. Non-Refundable Fee Acknowledgment I understand and agree that the Pre-Initiation Commitment Fee is non-refundable, regardless of application outcome, withdrawal, or non-acceptance into the Standing on Business™ pathway. No Guarantee of Acceptance I understand that submission of this application and payment of the commitment fee does not guarantee acceptance into Standing on Business™. Acceptance is based on readiness, alignment, and capacity. Understanding the Nature of Standing on Business™ I acknowledge that Standing on Business™ is a Rite of Passage—not a youth program—and that participation requires discipline, consistency, accountability, and long-term commitment from both the participant and the household. I confirm that I have read and understood the terms outlined above.Parent/Guardian Signature(Required)Date MM slash DD slash YYYY Son's Signature (if 18 or older):Date MM slash DD slash YYYY Rite of Passage Enrollment Fee Quantity(Required)$49.95 enrollment fee supports one individual. For more than one youth, you may increase the quantity accordingly. Price: $49.95 Quantity Credit Card(Required)
