Submission Form for New or Affiliated Chapter
This form is intended for use by groups of post secondary students who have existing campus clubs or societies who wish to affiliate with the YouthMappers network or who are forming new YouthMappers chapters on their college or university campuses.
See our chapter directory map or listing to check to see if your university already has a chapter. YouthMappers chapters are considered open to all students of a university and only one chapter per university campus will be approved. Universities with multiple campus locations can have a separate chapter at each location. Our staff will review your information and contact you regarding your application for acceptance and participation in the network within one week. Our steering committee reviews and approves new chapters once per month. For more information, see www.youthmappers.org .

Please read the Terms of Participation (available at https://tinyurl.com/ydfrxjoh), the YouthMappers Ethics Statement (available at https://tinyurl.com/yb45ed6u), and the logo / trademark use policy and permissions (available at https://tinyurl.com/ycwqo2mt) before filling-out the form below.
Is this an existing or a new student organization? *
Are you affiliating your group or creating a new YouthMappers chapter?
Is your organization already approved or sanctioned by your college/university? *
Do you have formal status with the institution of higher education where your student group belongs?
Full Name of Your University or Institution of Higher Education *
No acronyms please!
Your answer
OFFICIAL NAME of Your STUDENT GROUP OR CHAPTER *
No acronyms please! If you are calling your group YouthMappers, enter that text here with the location of reference. (For example, "YouthMappers at Texas Tech").
Your answer
City or Town *
Where your college/university is located
Your answer
State or Province *
Where your college/university is located
Your answer
COUNTRY *
This list includes the US and countries with a USAID mission. If you do not see your country listed here, please enter it into the next question box.
Country (if not listed in the drop down menu above)
Please type the name of your country if you did not see it listed.
Your answer
PUBLIC EMAIL ADDRESS FOR POSTING ON YOUR CHAPTER PROFILE *
Please enter the email address you wish to publicize on your chapter profile. This may or may not be the same as the correspondence email above.
Your answer
Webpage, homepage, or facebook page of your group
Optional
Your answer
Twitter handle
Optional - please start with @
Your answer
How many students are members of your chapter?
(total number)
Your answer
Total number of these who are female students?
Your answer
Total number of these who are male students?
Your answer
Please indicate the degree level of any of your members.
Check all that apply
FULL NAME of Main Point of Contact *
This should be the person to whom all correspondence will be made.
Your answer
POSITION / TITLE of Main Point of Contact *
Your answer
Affiliation *
e.g. Department of Geography at The George Washington University, etc.
Your answer
EMAIL Address of Main Point of Contact *
Your answer
Phone Number of Main Point of Contact *
Please add country code if international
Your answer
Who are the Officers / Leaders of your Group?
Please list their full names followed by their positions. (For example: "Julia Kleine, President; Hasan Almekdash, Vice President; Tarek Kandakji, Treasurer; Megan Rodriguez, Secretary; Nayara Vasconcelos, Student Government Representative").
Your answer
MAIN EMAIL ADDRESS FOR ALL CORRESPONDENCE *
Please enter a complete list of email addresses (for example of the officers) where you wish to receive information and correspondence about the YouthMappers network. This will be added to our Officers Listserv in addition to the addresses provided above. Please separate each address with a comma (,).
Your answer
Please provide a brief (up to 50 words) description of your chapter
This is optional. It may appear on your chapter profile page.
Your answer
FULL NAME of Faculty Advisor *
Please provide the contact information for the professor or instructor who is assigned by your university to this group.
Your answer
POSITION / TITLE of Faculty Advisor *
For example, "Assistant Professor of Geosciences"
Your answer
Affiliation of Faculty Advisor *
e.g. Department of Geology and Geography at West Virginia University, etc.
Your answer
EMAIL Address of Faculty Advisor *
Your answer
FULL MAILING ADDRESS
Where we should send your certificate of affiliation, written exactly as it should appear on the mailing label please
Your answer
Did you hear about YouthMappers from someone in the OSM or HOT community? Please provide their FULL NAME
If you have been guided to apply for this chapter affiliation by someone not named already in this form please let us know who you have been working with. (optional)
Your answer
Affiliation of the OSM or HOT or other contact
(optional)
Your answer
EMAIL Address of this contact person
(optional)
Your answer
Please acknowledge that you will provide the following documents after you submit this form *
Email them as attachments to info@youthmappers.org with the words "YouthMappers Chapter Application" in the subject line. Processing of your application will begin as soon as you submit this form and will not be delayed, but we do appreciate having these items as soon as possible.
Required
By clicking YES below, I acknowledge having read and accept the YouthMappers Terms of Participation *
By clicking YES below, I acknowledge having read and accept the YouthMappers Ethics Statement *
By clicking YES below, I acknowledge having read and accept the YouthMappers Logo Use Policy and Permissions *
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