Application Forms

Sign Up for The CLIC for Boys

Boys can be so misunderstood and have so much hidden potential. The CLIC for Boys is here to help boys be the best they can be. If you are a young man or you have a boy in your family that needs to be around positive men that share wisdom, encouragement and host fun activities, fill out this form and someone will get back to you soon. Volunteers are welcome to apply here also.

Apply

CLIC for Boys Admission Application

Name

First Last

Grade Level

Age

Birthdate

Month

Day

Year

Phone

Best Way to Contact You

Social Media Accounts

Facebook

Twitter

Instagram

Tiktok

Snapchat

Other

Facebook Address

Twitter Handle

Instagram Handle

Tiktok Handle

Snapchat Handle

Other

Address

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

Parent / Guardian Name

First Last

Parent / Guardian Phone

Parent / Guardian Email

Do you have a Parent that is incarcerated?

Yes, my Mom.

Yes, my Dad.

Emergency Contact

How Did You Hear About The CLIC For Boys?

Which Area(s) of Personal Development Are You Interested In? *

Self-Esteem

Etiquette

Interviewing

Relationship Management

Other

If Other, Which Area Are You Interested In?

Tell us why you are interested in these areas of personal development.

Which Program Topic(s) Interests You The Most?

Writing/Book Club

Life Coaching

Community Development

Why Should You Be Admitted Into The CLIC For Boys Program?

What Improvements Do You Expect To See In Yourself After Completing the Program?

You must sign this agreement in the following link in order for your application to be processed: Agreement Form

Did you submit the form above?(Required)

Yes

Comments

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

Sign Up for The CLIC for Girls

Girls are strong, smart and so much more than society thinks about them. The CLIC for Girls is dedicated to helping girls break gender barriers and achieve their dreams. If you are a girl or you have a girl in your family that needs guidance to make good decisions and a network of positive influences, fill out this form and we will get you started. Volunteers are welcome to apply here also.

Apply

CLIC for Girls Admission Application

Name

First Last

Grade Level

Age

Birthdate

Month

Day

Year

Phone

Best Way to Contact You

Social Media Accounts

Facebook

Twitter

Instagram

Tiktok

Snapchat

Other

Facebook Address

Twitter Handle

Instagram Handle

Tiktok Handle

Snapchat Handle

Other

Address

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

Parent / Guardian Name

First Last

Parent / Guardian Phone

Parent / Guardian Email

Do you have a Parent that is incarcerated?

Yes, my Mom.

Yes. my Dad.

Emergency Contact

How Did You Hear About The CLIC For Girls?

Which Area(s) of Personal Development Are You Interested In? *

Self-Esteem

Etiquette

Interviewing

Relationship Management

Other

If Other, Which Area Are You Interested In?

Tell us why you are interested in these areas of personal development.

Which Program Topic(s) Interests You The Most?

Writing/Book Club

Life Coaching

Community Development

Why Should You Be Admitted Into The CLIC For Girls Program?

What Improvements Do You Expect To See In Yourself After Completing the Program?

You must sign this agreement in the following link in order for your application to be processed: Agreement Form

Did you submit the form above?(Required)

Yes

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

Join Lady Live

Oftentimes women give so much that they end up depleted with nothing for themselves. The CLIC launched Lady Live to help women set healthy boundaries for self-care and to give them inspiration, equipping them to elevate their lives in every way. To receive this transformational content via podcast, workshops and more, sign up here.

Apply

Lady Live Application

Name

First Last

Birthdate

Month

Day

Year

Address

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

Consent

I agree to the privacy policy.

Phone

Occupation

# of People in Household

# of Dependents

Why do you want to join Lady Live? How can we support you?

How much time can you commit to this process?

In what other ways are you willing to contribute to this process of personal development?

Background Description

Are you currently under physicians/mental health care?

How did you hear about Lady Live?

How have you personally empowered the women around you?

What is the best advice that you have to share with other women?

What is one thing you wish people understood about you?

In your opinion, what’s the key to healthy relationships?

What inspires and motivates you?

Do you have any self-care practices? If so, what are they?

What topics would you like to hear discussed in Lady Live?

Comments

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

Get Involved with CLIC Culture

Today’s culture is filled with challenges from toxic messaging to images that make people feel less valuable. The CLIC is working to shift the culture by flooding it with positive, authentic content created by real people from the community. From podcasts to documentaries to books, we want to show you how to rewrite the narrative to reflect the true value of the communities we love.

Apply

CLIC Culture - Media Project

Name

First Last

Phone

Address

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

Age(Required)

Media Role

What are your skills or interest areas?

If Other, what are they?

Parent's Name

First Last

Parent's Email(Required)

Parent's Phone(Required)

Why are you interested in The CLIC's media projects? Which project have you heard of that interests you?

Are you comfortable working on projects based in the Christian faith?(Required)

Yes

If you had the opportunity, what story would you like to tell?

Best time for you to work on CLIC media projects(Required)

How did you hear about the CLIC?(Required)

Comments

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

Build with The CLIC House

Every low-income neighborhood has streets lined with abandoned and distressed properties that bring down the value of the community. In an effort to reverse gentrification, The CLIC wants to revitalize these properties and make them available for locals who complete training to ensure that they can maintain the properties. If you have a skill set, connections or resources that can aid this mission, apply here.

Apply

Volunteer Application

Name(Required)

First Last

Email(Required)

Phone

Select Program(Required)

Select Position(Required)

Start Date(Required)

Month

Day

Year

Upload Resume

Max. file size: 80 MB.

Website

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

Supportive Services for Children of Incarcerated Parents

The CLIC is working to implement strategies to provide emotional support, acceptance, and positive affirmation of all members of the family. This program provides life-skills training, legal consulting services, workshops to promote positive behaviors, and job readiness skills training. Children in this program also have access to the services in The CLIC for Boys and The CLIC for Girls programs.

Apply

Supportive Services for Family Freedom

Name

First Last

Grade Level

Birthdate

Month

Day

Year

Phone

Best Way to Contact You

Social Media Accounts

Facebook

Twitter

Instagram

Tiktok

Snapchat

Other

Facebook Address

Twitter Handle

Instagram Handle

Tiktok Handle

Snapchat Handle

Other

Address

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

Parent / Guardian Name

First Last

Parent / Guardian Phone

Parent / Guardian Email

Does youth participant have a Parent or Guardian that is OR has ever been incarcerated ?

Yes, my Mom.

Yes. my Dad.

Other

Emergency Contact

You must sign this agreement in the following link in order for your application to be processed: Agreement Form

Did you submit the form above?(Required)

Yes

Referred By

Enter the name of the person who referred you, if any.

Comments

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

Facility Use Form (CLIC Venue Partnership)

We want to support start-up non-profit organizations and local ministries, especially those who work with families in Orange County, FL. The CLIC knows how difficult and expensive it can be to find a venue when you are trying to help others. We will work with your budget and even barter mentorship hours with you to support your venue needs.

Apply

This form is for organizations partnering with CLIC for use of our venue. Please be advised, our space is designed for small, non-celebratory events, such as trainings and workshops with less than 40 people. If you would like to have a large celebration, we suggest "Food for Thought" also located in the West Oaks Mall.

Facility Use Request

Name

First Last

Phone

Please describe the nature of your event.

Ex: Party, workshops, training, etc.

Date

Month

Day

Year

How many people will you be expecting to attend your event?

What time slot would you like to reserve for your event?

Start Time (Including set up-time)

Hours

Minutes

End Time (Including breakdown time)

Hours

Minutes

Will there be food served at your event?(Required)

Application Forms

Facility Use Request

After submitting this form, you will be contacted by a CLIC team member with next steps.

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