Student Advocates for Speech Club Leader Application Form
Applications for student leaders to create a Student Advocates for Speech club at your high school. Only fully completed applications will be considered.

Applications for the 2022-2023 school year due on or before May 6, 2022.

If you have questions, please contact Christine Emeran at christine@ncac.org 
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Your Pronouns
Clear selection
Preferred phone number or email address, if different from above
School name *
School address (at least city & state) *
Club leader's age *
Required
Club leader's grade *
Tell us in one or two paragraphs why you would like to start a Student Advocates for Speech club at your school. *
Please describe in one or two paragraphs how you would reach a wide range of students from diverse backgrounds, including students with whom you might disagree, to join your club. *
I understand that, if selected as a finalist, I will need to provide both a signed permission form from a parent/guardian and a statement of commitment from a faculty advisor. *
Required
Where did you hear about the SAS program?
Would you like to subscribe to NCAC's mailing list for regular updates? (Not required!)
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of National Coalition Against Censorship. Report Abuse
Google Forms