Chess-for-Youth Online Form

The US Chess Trust can supply equipment to programs that include Title I students. 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*
Sets cannot be sent unless we can verify that the name below matches the current principal of the school. (We send sets to the principal and use an "ATTN" line to "Chess Program," along with the volunteer's name, if given.
Address*
Enter School's address.

Street Address City State ZIP Code
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?*
(e.g., chess tournaments or matches with other schools)
- Expanding to regular school chess club.
- Expanding to other inter-school activities.
- Not expanding.
If so, please explain.
Other comments or ideas about the Chess-for-Youth program:

The U.S. Chess Trust

Chess-for-Youth Online Form

Chess-for-Youth Online Form