Women SPEAK Chapter Interest Form
Thank you for your interest in bringing Women SPEAK to your campus and/or community! Please fill out this form and a representative from our team will contact you shortly. Applications are accepted on a rolling basis.

We at Women SPEAK are committed to spreading our mission, values, and goals in order to help communities and individuals have a platform to learn, discuss, and take action on the issues that women and girls face locally and globally.

As a Women SPEAK Chapter, you will be provided with a startup toolkit and liaison on our Executive Board to assist you with establishing a Women SPEAK chapter. In our startup toolkit, we will provide worksheets and guidelines that will help you build the foundation of your cub as well as offer suggestions on discussion topics, events, and opportunities that can occur. As a Women SPEAK chapter, you'll also have access to a lot of other cool things including monthly nationwide chapter chats, chapter-exclusive webinar workshops, and leadership opportunities.

Thanks again for your interest in Women SPEAK!

If you have questions, please contact our Director of Programming, Danielle Cooney at womenspeakteam@gmail.com.

All About You
Name *
Your answer
E-mail *
Your answer
Phone Number *
Your answer
How did you hear about Women SPEAK? *
Your answer
Age/Year in School *
Your answer
What other activities are you involved in? *
Your answer
All About the Chapter
School / Community *
Your answer
City of School/Community *
Your answer
State *
Your answer
Country *
Your answer
Why would you like to start a Women SPEAK Chapter in your school or community? *
Your answer
Please provide two ideas for events for your Women SPEAK Chapter. *
Your answer
Please provide the names and contact information of the two other individuals who will be part of your Women SPEAK Chapter. *
Please include name, e-mails, and phone numbers.
Your answer
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