ACS High School ChemClub Application
***This application should be submitted by faculty sponsors only***
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ChemClub information
Name of School
School Street Address
School City/State/Zip
Phone Number
School Web site (if applicable)
Faculty Sponsor
Sponsor's email address
School Principal
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How did you learn about the ACS ChemClub?
ACS Web site
Recommendation
Advertisement/Brochure
Email
Internet Search
Other
If someone recommended ChemClub to you please provide his/her name so we can send our thanks.
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The students at the above high school, under the leadership of the faculty sponsor listed above, apply for recognition as an official ACS-Sponsored High School Chem Club.
Endorsed by: (faculty sponsor)
Once we process your application, you will be contacted to verify participation in the program. Shortly thereafter, you should begin receiving resources. Welcome to ChemClub!
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Indicates Response Required