Champions of Hope Application 2024-2025

2024-2025 Application

Service. Leadership. Philanthropy.
‍
These are the three pillars of Champions of Hope, a group for young men in their junior or senior year at schools across the Little Rock Metro, which gives them a unique opportunity to engage with The Centers and work to support the organization’s mission.

Champions and their families complete a tax-deductible gift commitment of $2,000 to be given or raised to benefit boys and girls to overcome trauma and abuse and create pathways to success. The Centers’ will provide support for fundraising activities. The program concludes with a special presentation at The Centers’ signature event, The Evolve Gala, each spring.

2024-2025 Program Dates

Applications are Currently Being Accepted

August 2024: $250 deposit due

September 2024 - May 2025: Program
Highlights of Champions of Hope:
• Engage with community leaders and elected officials
• Join with your peers to earn service hours
• Earn a T-shirt, yard sign, certificate of accomplishment, recommendation letters and graduation gift
• Learn how to fundraise to help others in need
• Be recognized at The Evolve Gala, in local publications, and Lamar Advertising billboards
• Earn one of three awards: The Champion of the Year, The Champion of Hope Difference Maker and The Champion of Service
• Champions receive three complimentary tickets (value $750) to The Evolve Gala benefiting Centers for Youth and Families, Spring 2025

Program Requirements for Champions:
• Must be juniors or seniors in high school
• Commit to earning at least 20 hours of service
• Provide an auction item for The Evolve Gala live/silent auction.
• Nominate two Champions of Hope for the next class.
• Complete a tax-deductible gift commitment of $2,000 to be given or raised to benefit boys and girls served by The Centers.

Questions? Contact FoundationMail@TheCentersAR.com.

Applicant Information
Applicant Full Name*

First NameMiddle NameLast Name
Applicant Preferred Name*
Birth Date*

MonthDayYear
Mobile Number*

Area CodePhone Number
E-mail*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Name*
Grade (2024-2025 school year)*

11th Grade12th Grade

Guardian 1 Information
Prefix*

Mr.Mrs.Ms.Dr.Other
Guardian 1 Full Name*

First NameMiddle NameLast Name
Guardian 1 Preferred Name*
Guardian 1 Mobile Number*

Area CodePhone Number
Guardian 1 E-mail*
example@example.com
Guardian 1 Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Guardian 1 Employer

Guardian 2 Information
Prefix*

Mr.Mrs.Ms.Dr.Other
Guardian 2 Full Name*

First NameMiddle NameLast Name
Guardian 2 Preferred Name*
Guardian 2 Mobile Number*

Area CodePhone Number
Guardian 2 E-mail*
example@example.com
Guardian 2 Home Address (if different than above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Guardian 2 Employer

Questions for Applicant
Why do you want to participate in The Centers' Champions of Hope program?*

0/250
Please list all community and extracurricular activities such as sports, hobbies, volunteerism, and church.*
Name of Person Who Nominated You (Optional).
Sponsorship Information (Optional)

I am interested in Sponsorship opportunities to assist with my fundraising obligation. A limited number of Sponsorships may be available for Champions who display a commitment to the program but may be unable to commit to the financial obligation. Additional service hours may be required for Champions who receive a Sponsorship. Sponsorships are donated by local businesses and are awarded at the discretion of those organizations. To apply for a Sponsorship, Champions will be required to submit a written request for consideration.
Is there any other information that you would like to share with us?

Submission
I understand that this form is an application to the Champions of Hope 2024-2025 program. I understand that by submitting this form I am not automatically enrolled in the program. I understand that I will receive a letter of acceptance or denial in July 2024. I understand, if selected for the program and choose to participate, I will fundraise or donate $2,000 and complete 20 service hours by March 15, 2025 in order to be recognized as a graduate of the program.*

Yes, I agree / Understand
Signature

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