SOB: Rite of Passage Enrollment

Standing On Business Enrollment

Step 1 of 13

Name

This field is for validation purposes and should be left unchanged.

SECTION 1: PARENT/LEGAL GUARDIAN

Full Legal Name(Required)

First Last

Preferred Name

Date of Birth

Month

Day

Year

Relationship to Child:

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone(Required)

Secondary Phone

Email(Required)

Preferred Contact Method:

Phone Call

Text Message

Best Time to Contact:

Morning (8am-12pm)

Afternoon (12pm-5pm)

Evening (5pm-8pm)

SECTION 2: SON(S) BEING ENROLLED

Name(Required)

First Last

Date of Birth(Required)

Age(Required)

Current School

Current Grade Level

School Enrollment Status:

Enrolled

Dropped Out

GED Program

Graduated

Homeschool

Is your son currently employed?(Required)

Yes, Full-Time

Yes, Part-Time

If employed, where?

Does your son have a driver's license?(Required)

Yes

Learner’s Permit

Does your son have reliable transportation?(Required)

Yes

Has your son ever been arrested?(Required)

Yes

Is your son currently on probation or parole?(Required)

Yes

Does your son have any children?(Required)

Yes

If yes, how many?

Does your son currently live with you?(Required)

Yes

Part-time

Enrolling another son(Required)

Yes

Section 2: Additional Son

Name(Required)

First Last

Date of Birth(Required)

Age(Required)

Current School

If applicable

Current Grade Level

If applicable

School Enrollment Status:

Enrolled

Dropped Out

GED Program

Graduated

Homeschool

Is your son currently employed?(Required)

Yes, Full-Time

Yes, Part-Time

If employed, where?

Does your son have a driver's license?(Required)

Yes

Learner’s Permit

Does your son have reliable transportation?(Required)

Yes

Has your son ever been arrested?(Required)

Yes

Is your son currently on probation or parole?(Required)

Yes

Does your son have any children?(Required)

Yes

If yes, how many?

Does your son currently live with you?(Required)

Yes

Part-time

SECTION 3: HOUSEHOLD COMPOSITION

Total 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

Other

Is the father of your child(ren) actively involved in their lives?(Required)

Yes

Somewhat

Does the father pay child support?(Required)

Yes

Partial

Court-ordered by not paying

Other adults in the home who help with parenting (relationship):

SECTION 4: HOUSEHOLD INCOME & EMPLOYMENT

Parent/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)

Number of income earners in household:

SECTION 5: PUBLIC ASSISTANCE & BENEFITS

Check 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 & INSURANCE

Does the parent/guardian have health insurance?(Required)

Yes

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

If yes, type of insurance (Son):

Parent’s Plan

Medicaid

Employer-Provided

Other

Does your son have a primary care doctor?(Required)

Yes

Does your son have any diagnosed conditions? (physical, mental health, learning disability)(Required)

Yes

If yes, please list:

Is your son currently taking any medications?(Required)

Yes

Has your son ever received mental health services (counseling, therapy)(Required)

Yes

SECTION 7: SON'S CURRENT CHALLENGES

Check 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 & EXPECTATIONS

What 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

Somewhat

Does your son want to participate?(Required)

Yes

Somewhat

Unsure

SECTION 9: HOUSING & PROPERTY

Current 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

Has your family ever owned property?(Required)

Yes

Is homeownership a goal for your son?(Required)

Yes

Unsure

SECTION 10: EMERGENCY CONTACT

Emergency 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 & COMMITMENTS

By 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

Son's Signature (if 18 or older):

Date