Project Leader Application

Project Leader Application
Applicants must 18 years of age or older. Anyone interested in applying who is under the age of 18, may apply for our Teen Service Squad and complete 3 projects before qualifying to become a Project Leader. Click here to visit our youth programs page.
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile Number*

Area CodePhone Number
T-shirt Size?*
What language(s) do you speak fluently? (check all that apply)*

EnglishSpanishCreolePortugueseFrenchOther
If a Project Leader is unable to complete their project due to an unforeseen circumstance, would you be willing to substitute at the last minute if available?*

YesNo
If needed, Are you willing to lead Projects with HandsOn Miami?*
yes/no
Additional Comments
Please include your availability here.
Should be Empty: