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Built
2
Become
Student Application
Boxing and Mindset Training Program
Apply for the 8-Week Youth Program
Built to Become is a
nonprofit youth empowerment program
.
Participation is
scholarship-based
and spots are limited.
Applicants are selected based on commitment, mindset, and readiness to grow.
This is not just a signup. This is an application.
1. Basic info
Full Name
Date of Birth
Student's Age
Student's Phone Number
Parent/Guardian Name
Parent/Guardian Phone Number
Parent/Guardian Phone Email
School Name and Grade Level
2. Commitment & Availability
Are you able to attend all 8 Saturday sessions from 10:00 AM to 12:00 PM?
Yes
No
Are you willing to fully commit to the program for all 8 weeks?
Yes
No
Do you have any planned absences during the program dates? If yes, please explain
3. Experience & Activity Level
Have you ever trained in boxing, martial arts, or any sport? If yes, please explain
Are you currently active in any sport or physical activity? If yes, what do you do?
How would you describe your current fitness level?
BEGINNER
INTERMEDIATE
ADVANCED
4. Mindset & Personal Growth
Why do you want to be part of the Built to Become program?
What is one challenge you are currently facing in your life right now?
What is one goal you want to achieve in the next 8 weeks?
What does “becoming better” mean to you?
Tell us about a time you had to push yourself outside of your comfort zone
On a scale of 1–10, how ready are you to challenge yourself and grow?
1
2
3
4
5
6
7
8
9
10
Are you willing to be coached, even when it feels uncomfortable?
Yes
No
5. Character & Accountability
Are you willing to follow the rules and expectations of the program?
Yes
No
6. Program Standards
(Required for Acceptance)
Participants are expected to:
Attend all sessions on time
Give full effort in every session
Respect coaches and participants
Use clean language
No phone use during sessions
No fighting outside the program
Represent with integrity
Stay committed to growth
Do you agree to these standards?
Yes
No
Please read and agree to the following:
"
I understand that being part of
Built to Become
requires:
Commitment, Respect, and Integrity.
Initial here:
As a nonprofit program,
Built2Become is committed to providing opportunities to youth who are ready to grow. Acceptance into the program requires commitment, respect, and integrity
Program gear is earned upon successful completion of all sessions, along with a
certificate of completion.
7. Parent/Guardian Section
Why do you believe this program would benefit your child?
Is there anything we should know about your child (injuries, behavior, learning style, etc.)?
Emergency Contact Name and Phone Number:
Your application has been received and will be reviewed.
Due to limited spots, not all applicants will be accepted.
Oops! Something went wrong while submitting the form.
Where Mindset Meets Movement
Training the Mind and Body to Build a Better Future.
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