2019-2020 FocuSED Connections Interest Form

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Let us know if your chapter wants to participate in the second year of this penpal-inspired SED program. Presidents, it's encouraged that you complete this form with your chapter during a meeting, if possible, so your submission can reflect all chapter members' opinions.

Email *

Name (first and last) *

Name of contact person for the program

Who should your partner chapter contact to start communications? Skip if same as above

Office position of contact person (if relevant)

Ex: Corresponding Secretary, District Liaison, President, etc.

Email of contact person

Skip if same as above

Phone number of contact person *

Chapter Designation *

Chapter School *

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