Chess-for-Youth Online Form

Please review all Chess-for-Youth program requirements prior to submitting your request for participation in the program. You can find the requirements on our website in Chess for Youth Program page.

Name of School/Group*
Name of Principal/Director*
Address*
Street Address City State ZIP Code

Enter School's address.
School/Group Email*
Number of Students Participating in Chess-for-Youth Program ?*
Number of Students Participating Who Are Covered by Title I ?*
Grades of those participating?
Name of the Chess-for-Youth Volunteer*
First Last
Has your school/group ever had a program of this type before?*
- Yes
- No
If yes, please explain.
Will you provide time & space for volunteers during and/or after school hours?*
- Yes, during school and after school hours.
- Only during school hours.
- Only after school hours.
- No.
If so, please give details.
Expanding the program to regular school chess club or inter-school activities?*
- Expanding to regular school chess club.
- Expanding to other inter-school activities.
- Not expanding.
(e.g., chess tournaments or matches with other schools)
If so, please explain.
Other comments or ideas about the Chess-for-Youth program: