If you answered "other" to the previous question, please explain what type of chapter you intend to create here.
Where is your chapter located? Please provide the city/state and name of the high school/college if applicable. *
Who is your designated point of contact in case the Dream Equal staff need to get in touch with you at any point? This can be anyone within your chapter. Include [Full Name; Pronouns; Email Address] in your response. NOTE: Please notify email@example.com if this person or their contact information changes. *