Club Moderator Sign Up Form

Chess Sign Up To Host a Club!

Complete this form if you are interested in leading a club this school year.

Staff Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Please select the club(s) you are interested in leading.

** Please note that returning staff members who choose to continue leading their club this school year will receive priority in hosting that club. If a returning staff member decides not to continue, we will then review other candidates and select the staff member who is the best fit to lead the club.

“If you selected ‘Other,’ please describe the purpose of this club and provide details.”

Answer required for "“If you selected ‘Other,’ please describe the purpose of this club and provide details.”"

If you have a flyer to promote the club, please share it with us for review.

Answer required for "If you have a flyer to promote the club, please share it with us for review."

Choose a file or drag it here.

Please fix the highlighted areas below before submitting.

Club Moderator Sign Up Form