YHOP Application

First Name*First Name

Last Name*Last Name

Phone*Phone

Phone Type*
CellWorkHome


Your email*
Your email

School*
Your school

School Address*
School Address 1

School Address 2
School Address 2

School City*
School Address City

School State*
School Address State

School Zip*
School Address Zip

School Country*
School Country

School District
School District

Number of Years Teaching*
Number of Years Teaching

Number of Years Participating in YHOP
Number of Years Participating in YHOP

Subject(s) You Currently Teach*
You Currently Teach

Grade Level(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)*
How many students do you expect to participate

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

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
Include their names and email addresses

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

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

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

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

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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