ACS High School ChemClub Application

***This application should be submitted by faculty sponsors only***
* Has your school had an ACS ChemClub affiliation previously?

Advisor Information

* Were you the previous advisor?
* Do you have a co-advisor?
*
 Your Information
Name
Email Address
*  
 Co-Advisor Information
Name
Email Address

* How did you learn about the ACS ChemClub?
 

About Your School

* What category would your school be classified?
 
* What area is your school located?
 
* How many students are in your high and/or middle school?
* Are you at a Title I School?

Once we process your application, you will receive a welcome email.  Welcome to ChemClub!
* Indicates Response Required