Start a Club H.O.P.E. Chapter Ready to Schedule your Club H.O.P.E. Meetings?Please complete the questionnaire to help us set up your Club H.O.P.E. program. "*" indicates required fields School name* Meeting address*Where your Club H.O.P.E. meetings will be held Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Club H.O.P.E. leader name* First Last Club H.O.P.E. leader email* Club H.O.P.E. leader cell phone*Club H.O.P.E. leader is a* Parent Teacher Club H.O.P.E. co-leader name* First Last Club H.O.P.E. co-leader email* Club H.O.P.E. co-leader cell phone*Club H.O.P.E. co-leader is a* Parent Teacher Location in school where meetings will be held*e.g. gym, classroom, library Please enter 6 dates you would like to hold your meetings*Once monthly meetings occur November through April. Online registration takes place in September/October.Requested time of your meetings*Provide start and end times (90 minutes) Grades you would like to include*check all that apply Kindergarten First Second Third Fourth Fifth Maximum number of students you would like to facilitate* What is your school mascot and core values*Any special needs and/or requests we need to be aware of in order to ensure the best experience for your group? If not applicable, please enter NONEDo you have any questions about Club H.O.P.E.?
