School Information

School Name

Street Address 1

Street Address 2

City

Country

State/Province

Postal Code

Phone Number

Is your Middle School

Principal

Title

First Name

Last Name

Email Address

Head of School/Superintendent

Title

First Name

Last Name

Email Address

Chapter Information

Proposed chapter names should be creative, no longer than 40 characters, and contain no special characters.

Proposed Creative Chapter Name

Alternate Creative Chapter Name

Advisors

Lead Advisor

Title

First Name

Last Name

Email Address

Alternate Email Address

Phone Number

Type

Title

First Name

Last Name

Email Address

Alternate Email Address

Phone Number

Type

Were you referred to the ELA Honor Society by a colleague?

Confirmation

The Principal or designee approves the chartering. The Advisor(s) have read the ELA Constitution and are willing to establish and lead this new chapter.

Agreed

Cancel