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To take part in HANKERING FOR MORE events, each participant must complete an application and meet with a staff counselor. The application and interview are designed to make sure that we are a good match for each individual.

If you are interested in participating in our activities, please complete the following form, all Information is kept confidential. Or if you prefer, you may download an application form below, and mail it to:

Download Printable Application

HANKERING FOR MORE
PO Box 1054
New York, NY 10028

*= required field

1. Who is completing this application?

Applicant
Other (please explain)

2. How did you hear about HANKERING FOR MORE ?

3. Who should we call to schedule an interview with the Applicant?

*Name:
*Email:
Phone:
Relationship:

4. Please Answer the Following questions about the Applicant:

*Name:		Address 1:
Phone:		Address 2:
Birthdate:		City, State Zip:
	Single Married

Last School Attended:

Please Specify:

Employment Status:

For How Long?

Transportation Used by Applicant :

	Busses/Subway		Drive Alone
	Taxi		Other

Living Arrangement:

Please Specify:

Guardian Name:
Guardian Phone:

5. Please Explain Applicants Limitations:

6. Check all activities that the Applicant enjoys or would like to learn about

7. Indicate what days during the week are most convenient to participate in our events:

	Music		Cooking		Movies		Museums		Theater		Dining Out
	Gardening		Bowling		Participatory Sports		Dancing		Sporting Events		Photography

	Monday		Tuesday		Wednesday		Thursday
	Friday		Saturday		Sunday