Becoming a High School Enrolled in our Leadership Program

We are excited about the opportunity to speak with you about enrolling your high-school students in our Leadership Program.

To help us understand your interest, please take a moment to complete the form below.

Thank you for your interest in getting involved in helping a child in need!

All fields and text-areas are required.

High School Name

Your Name

Are you a Teacher, Student, or Other (please state your role)

Your Email

Best Phone Number (xxx-xxx-xxxx)

Home Address



Zip Code

Please explain why you are interested in starting a student leadership program with Special Spaces:

There are many ways your talented high-school students can be involved in the leadership of Special Spaces. Please check the jobs that you would be interested in helping with:

 Office/Administrative Support
 Silent Auction Coordinator
 Mailing of Packets
 Loading of Supplies
 Room Volunteer
 Family Event Coordinator
 General Cleaning
 Annual Event Planning
 Grant Writing
 Volunteer Appreciation
 Data Base Help
Other—Please describe:
What days would your high school students be available to volunteer?
 Mon  Tue  Wed  Thur  Fri  Sat  Sun
What time of the day are you available to volunteer?
 anytime  Morning  Afternoons  Evenings

Any additional comments:

When is the best time to call you?


Enter Code

Thank you. Your questionnaire will be forwarded to a chapter nearest you and that director will be contacting you to explain in detail how you can get started in helping put smiles on the faces of our Special Spaces children!