Set A Pattern | Chapter Leader Application

Set A Pattern | Chapter Leader Application

We are so glad you are interested in starting a Set A Pattern chapter in your school or community!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Age*
I am under 18I am over 18
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Parent's Phone Number*
Please enter a valid phone number.
I give consent for my child to participate in Set A Pattern in the role of Chapter Leader. I consent to my child communicating with Set A Pattern staff via Slack, text, zoom. I consent to my child attending Set A Pattern events and meeting with staff members as needed.
Today's Date*

MonthDayYear
Date
Parent's Signature*
What type of chapter are you wanting to start?*

CollegeHigh SchoolCity
What college, high school, or city are you from?*
How would you describe the culture of your city/school?*
Do you have a co-leader to lead with you? Every Set A Pattern chapter has both a male and female chapter leader.*

YesNo
How have you seen Jesus transform your life?*
Explain a time when you had a trial and how community/the Bible/etc. helped you though it.*
What does it mean to you to follow Jesus?*
What do you hope to gain from joining Set A Pattern?*
Anything else you want us to know 😁
Should be Empty: