2025 - 2026 H.O.P.E. Leaders Application

Student Information

Name

Birth date

Gender

Male Female Prefer not to say

Which races or ethnicities best describe you?

White/ Caucasian Black/ African American Hispanic/ Latino Native American Asian/ Pacific Islander Other Prefer not to say

Please list any of the following: current medications, medication allergies, food allergies, or chronic health conditions.

T- Shirt Size

Social Media Handle(s)

I am on Soonercare:

Yes No Unsure

Are you interested in One Hope's free counseling services?

Yes Maybe in the future No

Contact

This address will receive a confirmation email

Phone

Address

Education

Grade

Other:

Parent/ Guardian Information

Parent/ Guardian Name

Parent/ Guardian Relation to You

Parent/ Guardian Primary Phone

Parent/ Guardian Address (If different from student's)

2nd Parent/ Guardian Name (If applicable)

2nd Parent/ Guardian Number (If applicable)

Who lives in your household?

Parent/ Guardian Liability Release: I am aware that during participation in activities at the Rose Bowl certain risks and danger may occur. These include, but may not be limited to, the hazards of being in an urban area, the force of nature, and other reasons because of the content of some of the ministries and activities. One Hope will take all reasonable precautions to ensure the safety of participants, but injuries, heat stroke, asthma, allergic reactions, etc, can occur in the normal course of games and sports. In consideration of these ministries and activities, I do hereby assume all risks and will hold One Hope and the employees/leadership/staff harmless from any and all liability, actions, cause of action, debts, claims, and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with my participation in any activities arranged for me by One Hope or occurring at the Rose Bowl. The terms hereof shall serve as a RELEASE AND ASSUMPTION OF RISK for my heirs, executors, and administrators, and for all members of my family. In case of accident or illness, One Hope will attempt to provide first aid and arrange transportation to medical services if needed. I give them permission to authorize medical services or transportation as needed. Cost of medical care beyond first aid is the financial responsibility of the ill or injured person. I assume full responsibility for my health and my child's being such that the activities will in no way aggravate any conditions present. I declare the statements on this form to be true. I also agree that I will follow One Hope policies. I also release all images, videos, quotes, and other media that includes or features of me and/or my child to be used by One Hope as they see fit.

Digital Signature of Parent/ Guardian:

Emergency Contact

Emergency Contact Name

Emergency Contact Relation to You

Emergency Contact Number

Getting to Know You

Have you had previous work experience?

Yes No

Please list where, when, and in what capacity you have previously worked:

Have you or any of your family members participated in One Hope programs before?

Yes No

Program(s):

Do you have any siblings who plan to attend the One Hope after school programs? If so, please list their name and grade

In a video OR a written paragraph, please answer the questions below:

Tell us about yourself! What are you like? What are you into?

Describe a time you saw someone having a hard time and what you did about it.

What’s a weakness or area of your life you'd like to improve this school year?

Do you feel qualified to work with kids? Why or why not?

What do you think makes someone a good leader?

What makes you want to be a H.O.P.E. Leader?

Share an idea you have for improving this community.

What are your future goals?

We just want to get to know you better, don't sweat how you sound!

Send your video to @onehopetulsa on Instagram or send a Google Drive link to jerushafunderburk@onehopetulsa.com

OR write written response here

Are you involved in any extracurricular activities (community, school, church, etc)?

Other (please share other interests or skills you have here):

We collect the following information to provide appropriate support and maintain a safe program environment. Responses are confidential and do not automatically disqualify you from this program.

Have you been suspended from school in the past year?

Yes No

How many times have you been suspended from school since 6th grade?

1 2 3+

Have you ever been found guilty or pled guilty or no contest to a criminal charge of any kind?

Yes No

Have you ever had a civil lawsuit alleging actual or attempted sexual abuse or misconduct, child abuse, or physical abuse brought against you?

Yes No

Have you ever had any allegations of actual or attempted sexual abuse or misconduct, child abuse or neglect, or assault and battery made against you?

Yes No

Have you ever had any allegations of intoxication or use of illegal drugs?

Yes No

Are you or have you ever been on probation?

Yes No

References

Please provide information for 2 references.
Your reference should be an adult from school who is not related to you (like a teacher, counselor, coach, dean)

Your 2nd reference should be a peer (someone around your age) who is not related to you (like a friend, teammate, etc.).

Reference #1 Name (First and Last)

Reference #2 Relationship (coach, teacher, etc.)

Reference #2 Phone or Email

Reference #2 Name (First and Last)

Reference #2 Relationship (Friend, classmate, teammate, etc.)

Reference #2 Phone

Program Details and Permissions

H.O.P.E. Leaders Schedule:
Tuesdays & Thursdays:
2:45 PM - 5:30 PM (depending on school schedule)
4:00 PM - 5:30 PM

Thursdays: 3:50 PM - 5:30 PM

Important Dates for Fall Semester:
Start Date: Monday, Sept. 8th
Fall Break Trip: October 13th - 16th
H.O.P.E. Leaders Thanksgiving Party: November 24th
Last day of Fall Programming: December 13th
H.O.P.E. Leaders Christmas Party: December 18th

Important Dates for Spring Semester:
Start Date: Tuesday, Jan. 6th
Spring Break Trip (Tentative): March 14th - 16th
Spring End Date: May 12th

Summer HOPE Leaders is an 8-week, 20 hr/ week commitment that begins the first week of June. Participants receive a stipend.

H.O.P.E. Leaders will be allowed 2 excused absences per semester. If a leader needs to be absent for more than 2 days, this must be discussed in advance with program leaders.

Are you available to participate for the full weekly schedule?

Yes, I can arrive by 4:00 PM on Tuesdays and Thursdays Yes, I can arrive by 2:45 PM on Tuesdays and Thursdays No Unsure

Are you involved in other extracurricular activities (like team workouts, plays/ concerts, or jobs)? If yes, what and when?

Transportation Information

Will you need help with transportation?

Yes No Unsure

Do you have permission to walk to and from the Rose Bowl?

Yes Only during the day No

Permissions:

I have discussed this opportunity with my parent/guardian. I give permission for One Hope Tulsa to contact my parent/guardian. I recognize that the H.O.P.E. Leaders Internship is rooted in Christian faith and values. By applying, I commit to conducting myself in a way that supports One Hope Tulsa’s faith-based, community-focused, trauma-responsive mission and values. I understand a follow-up interview may be part of the selection process. I certify that all the information I have listed is true and correct. I understand that before I am accepted into the program, I must agree to the One Hope Code of Conduct and that failure to follow the code of conduct would be cause for termination. I submitted my video or written response

Description

5/29/2024

We're glad you're interested in applying for the High School Opportunity Program for Excellence (H.O.P.E.) Leader Development Program at One Hope Tulsa!

Looking for the High School Internship Application for school credit? Go here: https://onehopetulsa.breezechms.com/form/hopeleader33

H.O.P.E. Leaders is a Tuesday & Thursday after-school community leadership development program for 9th - 12th graders who live or go to school in Northeast Tulsa.

H.O.P.E. Leaders will volunteer in kids and youth programming at the Rose Bowl or community service; have opportunities to give back to those who are homeless; make connections with peers, One Hope staff and community leaders; receive leadership development and job skill training; learn peacemaking peer mediation strategies; participate in discussions of faith, prayer, and personal values; go on a fall/ spring break leadership development trips and college visits; be eligible for gift card prizes and a cash stipend; and more.

H.O.P.E. Leaders are expected to arrive at the Rose Bowl by 4:00 PM on Tuesdays and Thursdays. The program will end at 5:30 PM. Transportation home (within a 2-mile radius of the Rose Bowl) will be offered as needed. Students who are able to arrive between 2:30 - 2:45 may be eligible for an additional stipend.

Requirements:
GPA of 2.5 or greater
85%+ school attendance rate
Agree to follow the One Hope Code of Conduct

*School Year H.O.P.E. Leaders in good standing will be given preference for a paid H.O.P.E. Leader position in the summer.*

2025 - 2026 H.O.P.E. Leaders Application

Description

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