Due to web provider issues which they are working on, please use this form below to submit applications.
*IMPORTANT NOTICE: Due to occasional internet server and email issues beyond our control, submitted forms may NOT be received by HEART even though you get a successfully submitted confirmation response. If HEART receives your submission, we will ALWAYS send you an email to let you know we received it typically within no more than 12 hours. If you do NOT receive our email, please do one of the following let us know of your submissing: 1) Email us at firstname.lastname@example.org or 2) Send us a Facebook message on our FB Page. You are also welcome to do either of the above notifications after you submit right away.