Chapter Interest Form

Chapter Interest Form

Interested in starting an ACC chapter in your local community? Fill out the form below, and a member of our team will reach out within five business days. If you have any questions, please email Development@ACCEducate.org
Primary Chapter Lead Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address - We Mail Marketing Materials to Chapters. *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City & State You Would Like to Open a Chapter of ACC?*
Tell us About Yourself, the community, and why you want to open an ACC Chapter*
Tell us a little about yourself. Why are you interested in opening an ACC Chapter? How do you believe your community would benefit from ACC? Do you have a local team of people who can help and assist you? This doesn't have to be formal, just let us get a better understanding of you and your community.
List the Names, Emails, and Phone Numbers of Your Initial Board (Minimum of 2 Other People, for a Total of a Board of 3 People). If You Don't Have Anyone Confirmed, No Problem, Just List the People Who You Hope to Get on the Board.
Submitting this form does not guarantee approval to open an A Continuous Charity chapterApproved chapters must have a local board of at least three people, including the applicantOrientation and training are required before a chapter is officially launched
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