Regeneration Corps Youth Application
Please fill in this form if you are interested in participating in Regeneration Corps and crafting how this program can fit into your learning experience. You will hear from someone from our team shortly after submitting your application!

At this time, Regeneration Corps is mostly working in schools in the Upper Valley region.  If you are a student from outside this area, you may still apply and we will be in touch about the possibility of bringing Regeneration Corps to your school and/or finding a way for you to participate.  

*Reach out with any questions to Emma Paradis ( or Mindy Blank (
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Email *
Full Name *
Best phone number to reach you at *
Town *
School Name and 2020/2021 Grade Level (if applicable)
Regeneration Corps is offered through Flexible Pathways - a program that allows students to satisfy graduation requirements outside of the classroom.  You will need to work with your guidance counselor or Flexible Pathways coordinator to incorporate Regeneration Corps into your personalized learning plan.  Which of the following statements apply to you and how can we help? *
If you answered "Yes" above to currently working with your school, please provide the name of the person at your school who you have been working with, along with their contact information (if available).
Areas of Interest *
Do you have any experience in any of these areas of interest? Please explain. *
What are your transportation means and needs? (i.e. Do you have access to a car, are you able to bike/walk distances, do you need to be picked up to go to a project site, do you have need a wheelchair accessible vehicle, etc.?) *
Other needs or accommodations that you would like us to know about?
What is one local or global issue that you care about deeply and why? *
Thank you!
Someone from our team will reach out to you soon with more information!
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