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Community Youth Advance Donation Form

Community Youth Advance harnesses the power of community to Teach Reach and Keep youth on the path to success. This means we rely on the support of individuals like you to sustain our youth programs in Academics, Mentorship and Career Pathways.

Contact Information

Name

First Name

Last Name

Verify Email

How do you prefer to be contacted?

Mail

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Amount

$100

$50

$25

$10

How often would you like to give this amount?

What prompted you to support our work?

Custom text

Add 3% to my total amount to help cover the payment processing fees