TeamBuilders Academy Application

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TeamBuilders Academy Application

(All applicants must be 21 years of age or older)

Today's Date:

First Name:

Last Name:

Date of Birth

Age:

e.g. 9999999999

Social Security #:

e.g. 999-99-9999

Address:

City:

State:

Zip:

Home Phone Number:

Cell Phone Number:

Email Address:

Race:

Primary Language:

Sex:

Emergency Contact (Name):

Emergency Contact (Phone Number):

Emergency Contact (Relationship):

Program Questions:

How did you hear about the TeamBuilders Academy?

If accepted, what do you hope to achieve?

What are your goals after completion of the TeamBuilders Academy?

General Questions: (Please answer all questions to the best of your ability)

What do you consider to be your greatest strengths?

What area(s) of your life would you like to improve most?

What do you most like about your life?

What are your hobbies or interest(s)?

Who is the most supportive person, in your life, and how are they supportive?

Did you graduate from High School?

Are you currently or have you previously attended college?

Do you currently have any industry certifications?

What are your future goals?

Do you have a valid Driver’s License?

Are you a parent?

Do you have any known disabilities?

Are you currently taking prescription medication(s)?

Have you ever received treatment and/or counseling for any reason?

List your top (3) strengths:

List your top (3) challenges:

Check the words and phrases that best apply

What is your favorite way to learn?

Individually

Pair

Group

How do you rate your attention span?

Long

Short

How do you best learn?

reading books, articles or other printed material

listening and watching a video/presentation

hands on

Which method do you learn most easily?

explanations and examples

lecture notes and written examples

working and sharing with others

WHAT GETS IN YOUR WAY?

Vocabulary Builder
Barriers: something that gets in your way Hindered: slowing down your progress

In the past 2 years, have you been hindered by any of the barriers listed below?

Check Yes or No for each barrier that has hindered you from employment, promotion or continuing your education.

To finalize the application process, applicants must attend a mandatory information session and present the following documents:

Valid Driver's License
Proof of Prince George's County Residence
High School Diploma or GED
Social Security Card
Birth Certificate
DD214 (Veterans Only)

Information Sessions will be held on the following dates/times:

Wednesday, July 9, 16, 23 & 30, 2025 - 4:00pm, Skilled Trades Center, 6400 Old Branch Avenue, Camp Springs, MD 20748

Thank you for your interest in TeamBuilders Academy. You must click SUBMIT FORM to submit your application and in doing so, you agree that you have answered all questions honestly and to the best of your ability.

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