Submit Your Application

1. CHAPTER NAME
   (required)
2. ADULT ALLY NAME (must be at least 18 years old)(required)
3. ADULT ALLY EMAIL(valid email required)
4. COUNTY(required)
5. CITY(required)
6. CLOSEST METRO AREA Amarillo Austin Brownsville El Paso Dallas Houston San Antonio (required)
7. PARTNER SCHOOL
8. PARTNER ORGANIZATION
9. HOW DID YOU HEAR ABOUT THE TEXAS PEACE PROJECT?(required)
10. CHECK THE BOX IF YOU DO NOT WANT TO RECEIVE TEXAS PEACE PROJECT NEWSLETTER AND MATERIALS
11. Copy Me Via Email On This Form
12. Prevent Spam!

 

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