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Application for Starting a New PEAC Chapter

  1. This application is for the purpose of starting a new chapter of PEAC. We wish you a great success developing a worthwhile and rewarding organization to promote and support inclusive education and community. PEAC will assist you in any way possible to ensure that your chapter is a success.

    Purpose of Chapters:
    The primary purpose for which chapters exist is to mirror the mission of PEAC, to support and enhance the goals and objectives of PEAC, and to provide service to chapter members, their communities, and their university or college affiliations. Forming local chapters can lead to improved services and programs on inclusion in local schools and communities. Local Chapters are now forming to provide networking, solution circles, trainings, and information and resources for inclusive education.

  2. Full Name(*)
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  3. Email Address(*)
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  4. Address(*)
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  5. City
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  6. State
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  7. County
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  8. School District
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  9. Phone Number
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  11. The primary contact person for this chapter is
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  12. County/Area of Pennsylvania the proposed Chapter will support
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  13. I want to start a PEAC Chapter because
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  14. Please list the names of at least five (5) people who are interested in maintaining and supporting the new chapter
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  15. Chapter Name
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  16. Designated university or college affiliation
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