YHOP Application

First Name*

Last Name*

Phone*

Phone Type*
CellWorkHome

Your email*

School*

School Address*

School Address 2

School City*

School State*

School Zip*

School Country*

School District

Number of Years Teaching*

Number of Years Participating in YHOP

Subject(s) You Currently Teach*

Grade Level(s) You Currently Teach*

PROGRAM PARTICIPATION INFORMATION

How many students do you expect to participate in the program? (if multiple teachers are joining from your school, please provide approximate number of total students)*

What grade level(s) from your school do you expect to participate in the program?*

Are there other teachers from your school that would also participate in the program?*
YesNoMaybe

If yes, please include their names and email addresses here

Tell us why you are interested in participating in the Young Heroes Outreach Program*

Tell us how you currently incorporate civics learning in your classroom.*

Tell us how you currently incorporate community engagement in your classroom. (If possible, please list examples of partner organizations, projects, initiatives, etc.)*

Tell us about other year-long projects that are introduced in your classroom.*

How did you find out about the Young Heroes Outreach Program? (select all that apply)*
I have participated in YHOP in the pastI was recommended to participate by another teacherI was recommended to participate by my principalI saw the program marketed on a website, social media, or email newsletterI learned about the program through America250PAI was connected through my school district or Intermediate Unit

Submit

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