IgniteHER Chapter Interest Form
Thank you for your interest in creating a chapter of IgniteHER at your school/institution or region - an organization that is more than just a nonprofit, but a movement - dedicated to helping women reclaim their power and build self confidence!

By starting a chapter of IgniteHER, you are sparking local change and building a supportive network to empower women in your community.  United together, we can provide resources and opportunities that light the fuse to empower women to overcome challenges, build confidence, and thrive all around the world, in all areas of their lives. 

Please complete this form to provide us with some information about yourself and your vision for your local chapter. We are excited to partner with passionate individuals like you who are committed to making a difference. Let's ignite the spark and spread the change!

If you have any questions or concerns, email us at igniteherproj@gmail.com or contact Cindy directly at cindycchen3@gmail.com

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Full name *
Email *
Phone Number *
Personal Instagram Username *
Grade *
School/Institution *
Country *
State/Region *
School or Regional Chapter *
IF REGION: Name of region
What previous leadership experience do you have? No experience is required, however this question will help us understand how much guidance may be needed from us. *
OPTIONAL What are some events or meeting topics you are interested in hosting for your IgniteHER Chapter? 
We will get back to you soon. Be sure to check your email and thank you for joining the movement! Please also follow @c1yue on Instagram to be added to the group chat.
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