Register a High School Club :: U.S. Fund for UNICEF

*1.

Question - Required - Official Name of the UNICEF High School Club (such as "Peachtree High School UNICEF Club")

(Maximum response 255 chars, approx. 5 rows of text)

*2.

Question - Required - Type of Club Affiliation

Question - Not Required - If Other, please provide name

Official club mailing address

*4.

Question - Required - Building name (such as high school, president's home, community center etc.)

*5.

Question - Required - Address

*6.

Question - Required - City

*7.

Question - Required - State:

*8.

Question - Required - Zip

*9.

Question - Required - Contact Phone Number

Primary student contact

*10.

Question - Required - First name

*11.

Question - Required - Last name

*12.

Question - Required - Street address

*13.

Question - Required - City

*14.

Question - Required - Event State

*15.

Question - Required - Zip

*16.

Question - Required - Email

*17.

Question - Required - Year in School

*18.

Question - Required - Date of Birth (mm/dd/yyyy)

Club Advisor

*19.

Question - Required - First name

*20.

Question - Required - Last name

*21.

Question - Required - Job Title/Occupation

*22.

Question - Required - Sponsoring organization or school name

*23.

Question - Required - Email

24.

Question - Not Required - Relation to club Faculty member at high school
Affiliate of sponsoring civic organization
Other

25.

Question - Not Required - If Other, please specify

Additional questions

26.

Question - Not Required - Please describe your school (for example; size, location, and student demographics) or your sponsoring civic organization and the level of student engagement in your community.

(Maximum response 255 chars, approx. 5 rows of text)

27.

Question - Not Required - Why would you like to found a UNICEF High School Club in your community and how do you plan to recruit club members?

(Maximum response 255 chars, approx. 5 rows of text)

Read the UNICEF High School Club Toolkit and the Volunteer Agreement Form.

*28.

Question - Required - Check each box to complete registration:

	I have read the Prospective UNICEF High School Club Toolkit.
	Primary student contact and advisor agree to register as official U.S. Fund for UNICEF volunteers by checking here.
	The primary student contact and club advisor have read and agreed to the conditions outlined in the Volunteer Agreement Form.

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