NYC Class of Survivors Interest Form

NYC Class of Survivors Interest Form
Thank you for taking an interest in the New York City Class of Survivors! The Class of Survivors will unite a diverse sisterhood of women who share their powerful stories to raise awareness about heart disease and stroke. Their voices will inspire others to take charge of their health and well-being.

Please submit your information below to get notified when the next round of applications open.

If you have any questions, please reach out to Nicole Kerr at Nicole.Kerr@heart.org.
First & Last Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address *
example@example.com
4. Please briefly describe why you are interested in joining the NYC Class of Survivors.
Should be Empty: