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!