Project U LA

* indicates required field

Contact Name *

Contact Position *

Advisor Email *
Email is the primary way that you will be contacted

Advisor Phone *

Group Name *
50 characters max

Group Extended Name (optional)
If your group name is more than 50 characters

Primary Group Type *

Group Description *

Why does your group want to join Haven? (we will share this with your principal/head of school) *

How many members in the group? *

When was the group founded? (optional)

School *

OPTION 1: Find Your School From the List Below and Then Click Select Existing School

select

select

OPTION 2:

NOTE: Your principal/head of school MUST approve your request before your student group members can join Haven.

School Principal/Head of School *

Principal/Head of School Role *

Principal/Head of School Email *
* We will email your principal/head of school with the details of this request.

Principal/Head of School Phone *

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