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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
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