ConnectHER Chapter Application

Email*

Name*

Location*

Phone Number*

Age*

School*

Grade*
8th9th10th11th12thCollege FreshmanCollege SophomoreCollege JuniorCollege SeniorOut of SchoolOther

If you chose "Other", please elaborate

If you are in college, what is your major?

How did you hear about Connecther?*

Why do you want to join Connecther?*

What are your interests?*

Are you a part of other organizations at school or outside of school? If so, please list them*

Please list any skills and experience you have that are valuable to leading a Connecther chapter*

What are some events/activities you would like to plan for a Connecther chapter?*

Do you already have people interested in being chapter members?*
YesNo

Do you already have an advisor interested?*
YesNo

Chapters are required to fundraise for one Connecther project and produce one GITWFF Film Screening each year, and send updates every month. Do you agree to commit to this requirement?*
YesNo