Does your school wish to continue as a chartered member of the ACS ChemClub Program for the 2015-2016 school year? *
Why do you wish to discontinue your ChemClub association? *
Is there another teacher that would be willing to take over the ChemClub? *
Will you like to start a ChemClub at your new school? *
Will you continue as advisor for the ChemClub at your school? *
Please provide contact information for the new advisor for the next academic year.
Do you have any co-advisors? *
If more than 1 coadvisor, please list the others in the the comment section at the bottom.