Chapter Leader Application

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Your Name *

First

Last

Email (Personal)

Phone Number

Grade *

Full School Name

Teacher Supervisor (Full name, email)

Parent's/Gaurdian's Name *

First

Last

Parent's/Gaurdian's Email

Parent's/Gaurdian's Phone Number

Will there be anyone else running the club with you (Co-presidents)? If so, who? (Full name, Personal email)

Why are you interested in starting a chapter of the STEAM Innovation Challenge? (150 Word Max)

In your opinion, what makes a good leader? (200 Word Max)

How will you ensure that you prioritize the STEAM Innovation Challenge ? (150 Word Max)

STEAM IC

We are a registered, Canadian, not-for-profit organization (703440214TZ0001).

Email Address

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