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YHOP Application

    First Name*

    Last Name*


    Phone Type*

    Your email*


    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*


    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?*

    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)*


    Tue ‒ Thu: 09am ‒ 07pm
    Fri ‒ Mon: 09am ‒ 05pm

    Adults: $25
    Children & Students free

    673 12 Constitution Lane Massillon
    781-562-9355, 781-727-6090