Water Inequity Network Chapter Lead Application Form
Hello! Welcome to the Water Inequity Network! Please fill out the form below to become a part of our team! ♡

This is the Chapter Leadership Application for students wishing to lead a chapter of the Water Inequity Network in their state, school, district or community. If you would like to apply to the Internship Program, the application can be found here: https://forms.gle/1vRWGkgcnqDmWLoK7

 
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Name (First and Last) *
Email *
Location (City, State, Country)*
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As a Chapter, Regional or State Lead, you will be responsible for forming your own club or chapter in your school, state or community in relation to the Water Inequity Network. Which position(s) are you most interested in? (Choose your clubs level of scope)
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Required
Name of School, Community, District or State you would like to start a chapter in:
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What projects do you plan on implementing in this chapter? *
Additional Questions/Comments
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