Regional Jack Summit Application

Thank you for your interest in hosting a Regional Jack Summit! Please provide us with a few details below.

First Name

Last Name

Phone Number

Organization Name

Location

Organization Type

Other:

How did you hear about us?

Select the most applicable option.

Other:

Does your organization currently have a Jack Chapter?

How many times have you previously hosted a Regional Summit?

Summit Details

Please provide us with a few preliminary details about your plans for your summit.

When are you planning on holding your regional summit?

How many schools or community groups are you hoping to have participate at your regional summit?

Will your participants largely share a specific culture/background/identity? (e.g. newcomer youth, francophone youth, athletic groups, Indigenous youth, youth eternal to the school system)

Why do you want to host a regional summit in your community? What goals are you hoping to accomplish by hosting a regional summit?

Do you currently have an idea of what skills development you'd like to focus on at your regional summit? If so, please list your preliminary ideas.

Is there any other context you'd like to share with us?

Thanks so much for submitting an application! A Jack.org staff member will be in touch with you soon.

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