SCOUT APPLICATION

At Shadow Shine, we are always looking for new Scouts who have the experience of having grown up with a special needs sibling to guide our Sidekicks. If you are interested in developing a friendship that will allow overlooked siblings to feel special and are in high school, we’d love you to sign up through the form on this page.

Once we receive your form request, a member from our team will reach out for an interview to gather more information. After a review is completed, including a background check, we will move ahead looking for the perfect Sidekick match for you and set up a meeting!

Scout Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone Number

(###)

###

####

Scout Phone Number

(###)

###

####

Parent/Guardian Email

Scout Email

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth of Scout

YYYY

Gender of Scout

Name of School and Grade Level of Scout

Ages of all Siblings in Household

Number of Medically Challenged Siblings and Ages

Do you speak more than one language?

Yes

Primary Language

How did you find Shadow Shine?

We require a minimum amount of interaction with your Sidekick each month. Would you be able to commit to 3-4 hours per month?