Want to Start a Chapter?

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Name *

First and Last Name

Email *

Phone Number

Graduation Year

Position *

Student

Teacher

Parent

Other:

Type of Chapter

High School Club

College Chapter

City Chapter (if you want to have a chapter that encompasses several HIGH SCHOOLS in your community)

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Chapter Location Name

For High School Chapters, the name of your High School followed by your state/country. For College Chapters, the name of your College followed by your state/country. For City Chapters, the name of your city followed by your state. EXAMPLE: Greenhill School, TX. Emory University, GA. Chicago, IL. Tokyo, Japan.

Zipcode *

Country/Region *

School Sponsor Name *

School Sponsor Email *

Why do you want to start a club chapter? (500 characters max.) *

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