Chapters Creation Form

Chapters Creation Form

If you are interested in applying to launch a chapter on your campus/in your community, please complete and submit the form below! We will reach out to those selected to set up a time to discuss next steps.
Name
Address
Preferred Phone
Which UMR chapter would you like to join?
Are you a current student or graduate of the academic institution you selected?
Do you live in close enough proximity to the academic institution you selected to attend meetings and events in-person?
Are you in good academic and disciplinary standard with your academic institution?
What is your class standing as of the 2021 spring semester?
(You can choose multiple countries by holding the control/command button when selecting)
(You can choose multiple countries by holding the control/command button when selecting)
Referral Source (How did you hear about our organization and our chapters program?)