JSU Club Requests

First*

Last*

What's your email*

example@example.com

What's your phone number*

Parent Info

First NameLast Name

Parent Contact Number

Please enter a valid phone number.

What school do you attend*

School address/zipcode*

What city is your school in*

School state/province*

What region are you a part of

Your Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

About how many teens do you expect*

I'd love to start (or restart!) a club in my school because...*

You can tell us what inspired you, what you’re hoping to create, and whether JSU has existed at your school before.

How did you hear about JSU?

A friend, @ShalomShalom, a JSU staff member, social media, the JSU website, or...

Anything else you'd like us to know?

This can be about you, your school, or ideas you already have for the club.