Graduate Information Form

To All Georgia Youth ChalleNGe Program Alumni, we want to hear from you!

Please complete the form below so we can keep up with your successful transition from a Youth ChalleNGe Cadet to a person who has changed their life in a positive way!

You can give back to the program by telling us your story and how it has changed your life in a meaningful way. We may even use your story as a testimonial of the program on our social media platforms.

Please provide the following information: * Indicates Required Field


* Name:
Phone Number:
Preferred Contact Method:

Would you consider becoming an Ambassador for the program and be willing to speak to groups about your experiences?

Which Campus did you Graduate From?

Did you attend Job ChalleNGe Academy

Can we use your story and image on our social media platforms?