Name *

First Name

Last Name

Name of your chapter sponsor *

First Name

Last Name

Phone *

This should NOT be the phone number of the sponsor

(###)

###

####

How many tutors have you gathered for your team? *

just officers

a handful

plenty

When do you want to start this chapter in your school? *

We will work together to get your team off the ground up to this date.

MM

DD

YYYY

Check all that apply *

i and all affiliated did not use ai for responses to any prompts above

i and all affiliated have thoroughly read and fully understand the bylaws, requirements and consequences mandatory of the team and each individual role, especially my own