YMAA New Chapter Application
We're so psyched you're here and want to start a YMAA Chapter at your school! Please complete the questions below. This should not take you more than 20-minutes to complete. You got this! 

Once you hit submit, one of our team members will contact you within two weeks to set up a brief Zoom call. We’ll get to know each other and make sure you have everything you need to get started. Once your chapter is approved, you will be notified via email. Then, you and your fellow chapter leaders will be invited to join a free, virtual leadership training and chapter launch to help get you up and running.

Questions? Email us at ymaa@wearehfc.org

Sign in to Google to save your progress. Learn more
Tell us your first and last name. And if you have a preferred name, let us know that too! *
What is the best email address to contact you? *
Please share your phone number in case we need to reach you directly: *
Would you like to also receive text messages from the YMAA team? *
Required
Where are you starting your chapter? *
Tell us the name of your school (and your mascot, for funsies!) *
In what City and State is your school located? *
What is your zip code? *
Let us know what steps you have already taken to start your chapter: *
DONE!
Working on it.
Not yet.
Identified all school or campus requirements for starting a student club
Secured a faculty advisor
Identified at least three other executive board members:
Secured a meeting space
Tell us what makes you ready to lead a YMAA chapter? (100 words max)
 *
Share with us why you are passionate about raising awareness about Alzheimer's and engaging your peers? (100 words max)
 *
Tell us three things you hope to gain from your experience as a YMAA chapter leader? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hilarity for Charity. Report Abuse
Google Forms