New SHPE Jr. Chapter Application Form

Chapter Information

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Sponsoring Chapter
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Chapter Name *
Must include SHPE in the name Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
School Name *
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Region: *
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Chapter Address *

Street Address

Street Address 2

City State / Province

Postal / Zip Code Country

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Chapter Phone Number
Optional Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Chapter Email Address:
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Chapter Website:
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Major Activities/Events
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Estimated Annual Operating Budget
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Total Members *
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Social Media (optional):

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Facebook
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Instagram
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LinkedIn
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Snapchat
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Twitter
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TikTok
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SHPE Chapter Leadership

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President *

First Name Middle Name Last Name
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*
E-Mail Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Member ID Number *
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Vice President *

First Name Middle Name Last Name
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*
E-Mail Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Member ID Number *
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Treasurer *

First Name Middle Name Last Name
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*
E-Mail Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Member ID Number *
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Secretary *

First Name Middle Name Last Name
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*
E-Mail Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Month Elections are held:
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Student Chapter Information

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Chapter Advisor *

First Name Middle Name Last Name
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Title
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Advisor Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

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Advisor E-mail Address *
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Advisor Phone Number *
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Chapter Representative

First Name Middle Name Last Name
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Representative Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

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Representative Phone Number
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Representative E-mail Address
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Academic System
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Please provide, at minimum, six junior members in your chapter. Do not include your chapter leadership.

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Founding Member 1
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 2
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 3
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 4
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 5
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 6
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Name *

First Name Last Name
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Member ID Number *
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
Do you have more founding members to include? *

Yes No
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Founding Member 7
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 8
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 9
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 10
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 11
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

Founding Member 12
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Name

First Name Last Name
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Member ID Number
This number is found on your SHPE Connect account Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.

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Authorization Page

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Date

Month Day Year
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Bylaws *
Must be a PDF file Minified React error #152; visit https://reactjs.org/docs/error-decoder.html?invariant=152&args[]=_Widget for the full message or use the non-minified dev environment for full errors and additional helpful warnings.
You may review and fill the SHPE Jr. bylaw template here should you require guidance in creating this document. If you already have bylaws for your chapter, this template is NOT necessary.

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Budget
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School Agreement *
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Enter the message as it's shown *

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Please Run the Wizard
Should be Empty:

Chapter Information

Social Media (optional):

SHPE Chapter Leadership

Student Chapter Information

Authorization Page