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Student Interest Form

All fields outlined in red are required

Name*
First Last
Phone Number*
E-mail Address*
School*
Expected Graduation Date*
Expected Graduation Date
Date Format: MM slash DD slash YYYY
Address*
Where should we send you supplies and other mail?

Street Address City State Zip Code
Date of Birth*
Date of Birth
Date Format: MM slash DD slash YYYY
Parent or Legal Guardian's Information (if under age 18)
Parent or Legal Guardian's Information (if under age 18)
Parent or Legal Guardian's Phone Number
Parent or Legal Guardian's Email Address
How did you learn about Save the Children Action Network?*
How did you learn about Save the Children Action Network?
Why are you interested in becoming an advocate for kids?*
Why are you interested in becoming an advocate for kids?
Have you ever participated in any advocacy, community, or volunteer work that have prepared you to advocate with Save the Children Action Network?*
Have you ever participated in any advocacy, community, or volunteer work that have prepared you to advocate with Save the Children Action Network?
How would you like to engage with Save the Children Action Network?*
How would you like to engage with Save the Children Action Network?
Do you have any questions for Save the Children Action Network staff at this time?*
Do you have any questions for Save the Children Action Network staff at this time?