Join - STEP - Sharing Time with Elders Project

Name *

First

Last

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Parent / Guardian name (if applicant under 18)

Parent / Guardian email *

Parent / Guardian Phone *

I grant S.T.E.P. the rights to use my image or words for promotional materials. *

How did you hear about S.T.E.P.? *

How old is old? *

What is your current relationship with elders or youth? *

What do you believe elders or youth think about your generation? *

Why do you want to join S.T.E.P.? *

Do you have any concerns?

STEP - Sharing Time with Elders Project