Lean on Us Chapter Application Form

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Lean on Us Chapter Application Form

If you would like to start a chapter of the Lean on Us Foundation, please fill out this form. After your application is reviewed, you will get an email detailing your next steps.

If you have any questions, please don't hesitate to reach out to us at leanonus5@gmail.com

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* Indicates required question

Provide your first and last name. *

Your answer

Personal email and phone number *

Your answer

List the location in which you would like to start the chapter and whether or not it will be affiliated with a school. *

Your answer

Please list how you intend on getting participants for your chapter. Each chapter must have at least 3 members. *

Your answer

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