AppilyDay Chapter Application
WELCOME TO THE APPILYDAY CHAPTER APPLICATION! (8 min to complete)

Before filling out this form, please read through our website (appilyday.com) to understand more about our organization. Chapter officers must be between the age of 14-25 and they must be in the city/school that they want to set up a chapter in. AppilyDay is a fiscally sponsored 501(c)3 nonprofit. All transactions are tax-exempt.

Also, you will need to create a chapter email and an Instagram account before you fill out this form. Format: appilyday.auburnhs@gmail.com / IG username: appilyday.auburnhs

Fill out this form to start a local AppilyDay chapter, and we will get back to you as soon as we can. If selected, one of the AppilyDay core team members will guide you through the creation process. Looking forward to working with you!
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Email *
Chapter President / Co-President
The President of your chapter will be the main contact or correspondence with AppilyDay. Co-Presidents will need to fill out this form again.
Full Name (First + Last) *
What grade are you in? *
Chapter Information
AppilyDay no longer offers state or province chapter options.
We welcome international chapters.
What type of chapter are you forming? *
Name of your AppilyDay chapter (EX. Auburn High School AppilyDay) *
Chapter email address that you have created (EX. appilyday.auburnhs@gmail.com) - make sure the email name is specific and not already taken *
Chapter Instagram Account (EX. appilyday.auburnhs) - make sure the username is specific and not already taken *
City *
State (Region/province name if you are outside the U.S.) *
Short Answers (2-4 sentences)
We are looking for well-thought, concise, and straightforward answers.
How did you hear about us? *
AppilyDay's mission is to increase global health literacy through health education and health advocacy. Please explain how your chapter will make a difference. *
How do you plan to engage and recruit more members for your chapter? *
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