Use this online section to help us spread the HOPE movement and establish more HOPE Service Chapters all over the United States for the mutual benefit of college students and children with special needs alike!

To assist us, please complete all fields below, and a HOPE representative will contact you to begin the enrollment process shortly. Also, please know that the following information will be handled appropriately in strict accordance of our organization’s privacy policy.

School Information
School Name
School Address
School City
School Zip Code
Nominator's Information
Nominator's Name
Status	---- Select A Status ---- Administrator Teacher Parent Student Volunteer Other
Email
Confirm Email
Phone Number (xxx-xxx-xxxx)	Ext.
Type of Phone	---- Select A Phone Type ---- Home Cell Office
Best Time to Call	---- Select A Time To Call ---- Morning Mid-day Evening
Other Information