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Community Service Hours for Caregiving Youth

This form is not HIPAA-compliant and is not intended to collect protected health information. Your responses will be sent to AACY via email for review. We use our best efforts to protect your privacy and use your information only to process your Caregiving Youth recognition request. Only truthful applications from eligible Caregiving Youth will be processed, and AACY verifies submissions to ensure authenticity. For details, see our Privacy Policy or contact info@aacy.org

AACY Community Service Hours

About AACY Caregiving Youth Certificate of Achievement Award

Are you a U.S. high school student (grades 9–12) who regularly provides care for someone, such as a parent, grandparent, and/or sibling in your home or close by who has a chronic illness, age-related decline, disability, and/or another health condition?

If so, you may be a Caregiving Youth—a young person under 18 years who helps family or household members who need assistance because of a health condition. The American Association of Caregiving Youth (AACY) created the Caregiving Youth Community Service Hour Credits Program to honor the vital role you play.

Some schools require community service hours for graduation, while others recognize service through transcripts, scholarships, service-learning programs, or civic awards. If you are a Caregiving Youth, you may not have time for traditional volunteer activities. This program allows your caregiving at home to be formally recognized and, depending on your school’s policies, may count toward existing community service or civic engagement frameworks.

How it works

Because this program is for students under 18, a parent or guardian must review and approve your submission. AACY then reviews your applications to confirm eligibility. If approved, you’ll receive a signed Certificate of Achievement, verifying your Caregiving Youth role. If your school awards community service hours, upon your request, AACY will also contact them.

Steps to Receive Your Caregiving Achievement Certificate:

  1. Answer the questions below about your caregiving role.
  2. Submit your form; it will be emailed directly to AACY.
  3. Review: An AACY team member may contact you to confirm details.
  4. Approval: If approved, you’ll receive an official PDF Certificate by email within 1–2 weeks at no cost.
  5. Share: Provide the AACY Achievement Certificate to your school to confirm your Caregiving Youth status and the opportunity to be awarded Community Service Hours. You can also include the Certificate for scholarship, college, resume, or job applications.

     

If your school requires additional information, please ask them to contact info@aacy.org or call 561-391-7401. 

Optional donations to support our mission are welcome, but do not affect processing or approval.

Each form is verified to ensure that only eligible Caregiving Youth are recognized.

Questions? See the FAQ for answers about the Caregiving Youth Service Hours Program.
AACY Caregiving Youth Service Hour Application Form
Please fill out the information below and hit submit when done.
Step 1 of 2

Parent or Guardian Consent and Contact Information

PARENT OR GUARDIAN APPROVAL (REQUIRED)
I CONFIRM THAT THE APPLICANT IS 13 YEARS OLD OR OLDER
I confirm the applicant is 13 years or older (PLEASE CHECK BOX TO CONFIRM)
PARENT OR GUARDIAN NAME
CAREGIVING YOUTH APPLICANT NAME
Name of student applying
MAILING LIST PREFERENCE
Your email will be added to AACY’s mailing list for updates on programs, events, donation opportunities, and resources for Caregiving Youth. You can unsubscribe anytime using the link in our emails. Don’t want to join? That’s completely fine. Check the box above to opt out.
Please include a contact phone number in case we have any questions about the information below. We’ll only reach out if we need to clarify something on this form, and if that happens, an AACY team member will contact you personally.
(For example: Broward County, FL; Fairfax County, VA; or Leander ISD, TX)

QUESTIONS FOR CAREGIVING YOUTH APPLICANT

Please select your age from the dropdown menu
Please let us know what grade you are currently in from the dropdown menu
Please enter the full name of your school
OR - YOU ARE IN A HOME-BASED OR ALTERNATIVE PROGRAM
ADDRESS OF YOUR SCHOOL
Please enter the address of your school
SCHOOL CONTACT (Optional)
(Name of principal, counselor, administrator, or teacher - if known)
WHO DO YOU HELP CARE FOR? (Check all that apply)
Please check the box(es) that matches who you help.
Please indicate the time period for which you are applying. If you are no longer a caregiver, you may still be eligible to receive recognition for the time you were! Just put the estimated dates/time period you were/are a caregiver in the text box above.
IS THE PERSON YOU CARE FOR A MILITARY SERVICE MEMBER OR VETERAN?
I HELP MY FAMILY MEMBER WITH (Check all that apply)
How often do you help on SCHOOL DAYS?
How much do you help on NON-SCHOOL DAYS/WEEKENDS?
Tell us about your caregiving experience. Think about what caregiving is like for you and what you’d like others to understand. You might describe who you help care for and what kind of support they need, what a typical day looks like when you’re helping at home, how caregiving affects your schoolwork, sleep, or friendships, or a moment that made you feel proud or changed the way you see things. Share as much or as little as you’d like - this is your story.
Research Participation (Optional)
The American Association of Caregiving Youth works with researchers to better understand and support Caregiving Youth across the U.S. Check the box if you’re open to possibly being contacted about future research opportunities.

Almost there! Click “NEXT” below to review your answers and submit your form to AACY.