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(215) 925-2800

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YHOP Application

    First Name*

    Last Name*

    Phone*

    Phone Type*

    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?*

    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)*

    a

    Thu ‒ Mon: 10am ‒ 05pm

    Adults: $12 Seniors (65+): $10 Students (with valid ID): $8 Youth (ages 6–17): $6 Children (under 5): No Charge Museum Members: Free

    321 Chestnut Street, Philadelphia PA 19106 (215) 925-2800