Skully Serves Chapter Application 2014-2015 School Year

First! ! ! ! ! ! Last

Phone/Email Address

Chapter (High School/Location)

Phone

Email

Chapter Mentor or Advisor Name

Phone

Email

How did you learn about Skully Serves?

Why do you want to start a Skully Serves High School chapter?

What are your passions? Interests? Hobbies?

What clubs/organizations are your currently involved in?

High School Chapters focus on: serving others, promotions, coordinating and organizing events and/or fundraisers, and spreading awareness about our mission.

Which of these strategies will be the most difcult for you to implement and why? Which is the most interesting to you and why?

Do you foresee any challenges in running a Skully Serves Chapter? (such as your workload, classmates, jobs etc.)

Age/Current Grade Level

Electronic Signature

! ! ! ! !