Chapter Interest Form

Launchpad Chapter Interest Form

If you’re interested in creating a chapter for the 24-25 school year, please fill out this form.

Full name(s) of chapter leader(s).

Each chapter can have 1-3 chapter leaders.

Email(s)

Secondary School Name

Secondary School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Grade for 2023-2024 school year

Select "multiple" and answer next question if there are multiple grades represented.

If multiple grades are represented for each chapter leader, please list them here.

Extra comments/questions