F.O.C.U.O.S. – Empowering At-Risk Youth | Breaking the School-to-Prison Pipeline

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430 E. Briarcliff (Red Building)

Bolingbrook IL 60440

501(c)(3) Non-Profit Organization Based in The Will County DuPage Township. All gifts are tax-deductible.

Enroll

F.o.c.u.o.s. intake

Forms

Child Release Form

Volunteer Application

Register with F.O.C.U.O.S.

Complete The Participant Registration Form Below:

Register with F.O.C.U.O.S.

Participants Name

Participants Date of Birth

Age

Participants Gender

Male

Female

Parents/Guardian Name if

Phone Number

Email (Parent/Guardian)

Address

Emergency Contact Name & Number If Guardian Cannot Be Reached

Allergies

Yes

No

Provide Allergies If Above answer is Yes

Medication / List of Medication if applicable

Special Instructions

Income Level

Low

Med

High

Which Program are you interested in

F.O.C.U.O.S ON THE SUCCESS ACADEMY Weekly Tutoring

F.O.C.O.S On Horizon 9-15

F.O.C.U.O.S. on the Prize 12-18 Intervention Program

F.O.C.U.O.S ON THE FUTURE 16-24

F.O.C.U.O.S ON THE OUTLOOK Re-Entry Program

Community Service

Not Sure

Message:

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Donate to F.O.C.U.O.S Now!

Email: wp@focuos.org
Phone: 630-729-4329

430 E. Briarcliff (Red Building)

Bolingbrook IL 60440

F.O.C.U.O.S. Copyright © All Rights Reserved.

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