Section 1 of 4
This form has three brief pages and takes about two minutes to complete.
Thanks for clicking “I’m ready to get started!” Your answers will give KK Chess a snapshot of your school’s after-school needs so we can craft a customized chess-program proposal. We recommend that a school administrator complete the form, ideally in collaboration with the after-school program coordinator.
Thanks for clicking “I’m ready to get started!” Your answers will give KK Chess a snapshot of your school’s after-school needs so we can craft a customized chess-program proposal. We recommend that a school administrator complete the form, ideally in collaboration with the after-school program coordinator.
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Section 2 of 4
Data Privacy
KKChess will use the information you provide solely to evaluate and propose an after-school chess program for your school. We do not share it with third parties and retain it only for proposal and onboarding purposes.
School Name
School Name
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School Address & Main Phone #
School Address & Main Phone #
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Type of Organization
Type of Organization
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Private School
Charter School
Home School / Co-Op
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Administrator Name (Budgetary Approver)
Administrator Name (Budgetary Approver)
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Administrator Phone
Administrator Phone
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(“e.g. 408-555-1234”)
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Administrator Email
Administrator Email
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Activities Director Name (Course Requests)
Activities Director Name (Course Requests)
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Activity Director Phone
Activity Director Phone
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Activity Director Email
Activity Director Email
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Programs of Interest
Programs of Interest
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After-School Program
Extracurricular Club
Lunchtime Program
In-School Enrichment (during class)
Summer Camp / Holiday Camp
Chess Tournament Hosting
• Special Event / One-Off Workshop
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add "Other"
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Preferred Program Format
Preferred Program Format
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On-Site
Virtual
Hybrid
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Desired Start Term
Desired Start Term
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Date
Time
Fall 2025
Winter 2025
Spring 2026
Summer 2026
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Grade Levels Served
Grade Levels Served
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Time
Kindergarden/Pre-School
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade or Above
Other:
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Approx. # Students Interested
Approx. # Students Interested
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10 - 20 Students
20 - 50 Students
50 - 100 Students
Other:
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Section 3 of 4
Class Goals
You and your organization experience with chess
You and your organization experience with chess
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Students knowledge of chess
Students knowledge of chess
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Most students took lessons before
Most students played chess before
Most students heard of chess
Most students are new to chess
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Which programs is your preference?
Which programs is your preference?
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Large Group Lessons
Small Group Lessons
School Chess Club
In-School Chess Tournaments
Take-Home Chess Activities
Competitive Chess Team
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Section 4 of 4
Thanks for filling out this form it will help to provide a framework for our conversation. which time would be best?
Date please
Date please
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Best time?
Best time?
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