Local MYNA Chapter Application
Please fill out all the question, which will be used to decide MYNA National affiliation with any local chapter. If you have any question, please email outreach@myna.org
Youth Applicant's Name *
Full Name
Your answer
Applicant's Age *
Your answer
Applicant's Email *
Your answer
Location of Chapter *
Your answer
Advisor Name *
Who will be the main advisors?
Your answer
Advisor(s) Email(s) *
Your answer
Advisor(s) Phone number(s) *
Your answer
Please list all of the existing youth groups in your city and their focus *
Your answer
What will be the MYNA Chapter's mission and vision? *
Your answer
Please list the founding members and the Youth Board members *
Your answer
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