JSU Club Requests

First*

Last*

What school do you attend*

What City is your school in*

What State is your school in*

What region are you a part of

What's your email*

example@example.com

What's your phone number*

Your Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent Info

First NameLast Name

Parent Contact Number

Please enter a valid phone number.

About how many teens do you expect*

Please provide additional details why you are interested in starting a JSU club has JSU existed in your school previously etc*

Anything else we should know