HEROES Intrest Form

HEROES Youth Leadership

A Program of Treehouse Foundation
Interest Form

Thank you for your interest in HEROES! HEROES is Treehouse Foundation's Youth Leadership Program for those who have direct or familial experience with foster/kinship care, adoption or other lack of permanency - like homelessness or immigration, as well as their family members.

Please share some information so we can follow up with you in the best way possible.

Want to volunteer? Please scroll to the volunteer applicant section.

Make sure to click "Submit" when you are finished. We look forward to speaking with you soon!
Are you a:*

Young person: age 12 - 18 yearsYoung person: age 19 - 24 yearsParent/GuardianSocial WorkerSupporterOther
Youth Name

First NameLast Name
Youth Birthday

MonthDayYear
Date
Guardian Name

First NameLast Name
Guardian Phone Number

Area CodePhone Number
Guardian Email Address
example@example.com
Please check off youth's areas of interest:*

Social connections and Fun ActivitiesTheater Arts (including performance and dance)AdvocacyVideography / PhotographyLife SkillsWritingVisual Arts (Painting, Drawing, Sculpture)Social/Emotional SkillsNature OutingsOther
Parent/ Caring Adult Name

First NameLast Name
Parent/ Caring Adult Phone Number

Area CodePhone Number
Parent / Caring Adult Email
example@example.com
Volunteers:

Are you over the age of 21, and interested in volunteering? Please fill out the information below:
Volunteer Name

First NameLast Name
Volunteer Phone Number

Area CodePhone Number
Volunteer Email
example@example.com
How did you hear about HEROES?*
What area are you in?
Would you like to join our Email list?

YesNo
How should we contact you?*

TextPhone CallEmail
What time works best?

:HourMinutesAM/PM Option
Please add any additional information you would like to share about yourself or any questions you have about HEROES:
Applicant Signature*

Clear
Should be Empty:

HEROES Youth Leadership

Volunteers: