The Retreat Teen Leaders Application 2022-2023
The Retreat Teen Leadership Council is The Retreat's partnership with high school students to help prevent abuse and promote respect in all relationships throughout our community.  Thank you for your interest in working with us on our remote community service program. The program is free of charge.

Applications for Spring 2023 are open! The Retreat's TLC Spring 2023 Session will start in March 27, 2023 and run through mid May. Our flexible workshop modules will take place on Google Classroom, at-your-own-pace, on a weekly basis.

Please check your email regularly for information and updates about further registration for the program!  
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The Retreat does not discriminate with respect to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, or military or veteran status in accordance with applicable federal, state and local laws.                                            
What is the Teen Leaders program?
The Teen Leaders program is a community service program that trains and supports high school students to become ambassadors and advocates who work together to help prevent abuse and promote respect in all relationships throughout our community.  We help foster awareness about the dynamics of both abusive and healthy relationships, and train students about safe, effective and appropriate intervention strategies through fun and meaningful activities.  
How long is the program?
Teen Leaders commit to an intensive training and leadership development program for a minimum of 8 weeks, with training sessions and special events.  Students have the opportunity to create and implement special projects (workshop, media outreach, event, video, fundraiser, survey etc.) Workshops meet remotely via Google Classroom, Canvas, Zoom and other virtual platforms.

Where does the program meet?
The Retreat’s main offices are closed for workshops but we are still providing programming remotely. We can also coordinate with your school or community group to host programs.
Do I earn community service hours?
Yes! Students can earn community service credit hours upon successful completion of each training session of the program.  Additional community service hours are awarded for extended independent projects and participation in additional sessions.

Is this program open to everyone?
Yes!  All high school students are welcome to participate!
How can I learn more about the program?
Check out The Retreat website at allagainstabuse.org or call 631-329-4398 for more information.  Or email education@theretreatinc.org with your name, school, graduating year, and phone for information about programs dates, location, and any other questions you have.
In joining the Teen Leaders, I commit to: *
Required
I am interested in helping lead an independent outreach project (awareness workshop, social media design, fundraiser, etc)
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First and Last Name *
Preferred Pronouns
High School *
Required
Graduation Class Year *
How did you hear about The Retreat Teen Leadership Council training program? *
Birth Date *
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School Email Address *
Personal Email Address (some schools block outside email) *
Mailing Address (including town and zip code) *
Cell Phone *
Home Phone
Which Teen Leadership Council session are you interested in? *
Required
Which of the following Retreat programs have you participated in? Check all that apply. *
Required
Primary Language *
Required
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Cell Phone *
What skills or other qualities might make you a good candidate for Teen Leadership Council? *
Please describe why you would like to participate in Teen Leadership Council: *
What do you hope to accomplish as a Teen Leader? *
What topics are you most interested in learning about this session? Check your top 3 options. *
Required
Parent/Guardian Permission:   Parent/Guardian please check to indicate consent: *
Required
Parent/Guardian, please select ONE of the following *
Parent/Guardian, please select ONE of the following: *
Parent/guardian:  Please type your NAME to represent a signature granting consent for your child to participate in The Retreat Leadership Training workshop series using the distance learning platform Zoom and other online tools, and releasing The Retreat Inc., its employees, and any affiliates, etc. of any liability regarding your child's participation. *
Participant: Please type your FULL NAME to represent a signature granting consent to the above terms of participation.
The Retreat Education Program will email you prior to the start date to confirm your participation in the program.  For questions regarding the Teen Leaders program please email education@theretreatinc.org.  Please contact The Retreat's hotline at 631-329-2200 for free confidential support regarding relationship challenges.
A copy of your responses will be emailed to the address you provided.
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