Chapter

 

Chapter Leader Full Application

 

You made it past the first round and we are so excited to learn more about you!

Please fill out the form below.

Name *
Name
We want you to visualize with no limitations. For example would you want your chapter to meet quarterly, do outreach events, go to schools and speak, etc. We are big believers in allowing people creative freedom to truly shine. The sky is the limit :)
If so, please list here.
The following are a few examples of potential roles and responsibilities of a chapter leader. Please let us know which ones you are most passionate about. *
Please check all that apply
Please list the name, email address and best contact number
Please list the name, email address and best contact number
Please list the name, email address and best contact number
Please list the school name, years attended and if applicable the degree earned.
Availability to schedule a call. *
Select all that apply