Shore Corps Fall 2025

Shore Corps Registration

Shore Corps is a service-learning program focused on environmental stewardship, civic engagement, and community planning. Students in 9th through 12th grades, who live in or attend school in and adjacent to the Rockaway peninsula, are eligible to apply.
Student Name*

First NameLast Name
Student Gender
Student Ethnicity*
Student Age*
Student Birth Date*

MonthDayYear
Please enter Date as MM/DD/YYYY
Student Birth Date (Old)*

MonthDayYear
High School Graduation Date (OLD)*

MonthDayYear
Student Phone Number*
Please enter a valid phone number.
Student Email*
example@example.com
High School Graduation Date*

MonthDayYear
Please enter Date as MM/DD/YYYY
Current Grade in School*
Where do you go to school?*
Student Address*

Street Address

Street Address Line 2

CityState/Province

Postal/ZIP Code
Parent/Guardian Name*

First NameLast Name
Relationship to Student*
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone*
Please enter a valid phone number.
Second Emergency Contact

First NameLast Name
Second Emergency Relationship
Second Emergency Email
example@example.com
Second Emergency Contact Phone
Please enter a valid phone number.
Have you participated in RISE programs before?
If yes, what program/event?
Have you worked with the Environment before?
Previous Environment Desription
If yes, what have you done?
What are you plans after high school?
How did you hear about RISE Programs
Do you have any food allergies or dietary restrictions?
If yes, please indicate what they are.
Student Gender OLD
Female/Male/Nonbinary/Other
Second Emergency Contact E-mail OLD
How did you hear about RISE programs?OLD
Classmate or School/Family Member/Friend/Internet/Social Media/Flyer/Other (Specify)
What are your plans after high school?OLD
Attend College/Work Full-Time/Enroll in Armed Forces/I Don't Know/Other (Specify)
Second Emergency Contact PhoneOLD
Second Emergency Relationship OLD
Family (Specify)/Friend/Other (Specify)
Student E-mailOLD
Relationship to Student OLD
Mother/Father/Stepmother/Stepfather/Foster Parent/Other (Specify)
Cohort ID
Program ID
Student Ethnicity OLD
American Indian or Alaska Native/Asian/Black or African American/Hispanic or Latino/Hawaiian or Other Pacific Island/White/Other
Student Phone Number OLD
Parent/Guardian Phone OLD
Parent/Guardian E-mail OLD
Should be Empty:

Shore Corps Registration