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!