New Chapter Application - Becca's Closet

Prospective Becca's Closet Chapter Information

Completing this application does not guarantee approval. Please wait for a Becca's Closet representative to contact you after you submit this form.

This is the Becca's Closet Chapter Application. Please fill out this application completely and provide all required information and click the "Submit" button on the bottom. Please check your email for information about your chapter's approval. A Becca's Closet representative will contact you to discuss your application. All chapters must be approved by Becca's Closet. If you have questions about this application, please contact Leslie Bernstein at lbernstein@beccascloset.org.

Student Chapter Leader Applicant Name*

First Last

Adult Sponsor/Advisor Name*

First Last

Adult sponsor may not be the student's parent.

Job/Position*

What is the adult sponsor's position at the school/church/non-profit organization?

Name of School or Other Sponsoring Organization*

Location*

Name of Affiliated Service Club (if applicable)

Closest Metropolitan Area*

Number of anticipated members*

How did you hear about Becca's Closet?*

Student Chapter Leader Information

Chapters must have a student leader.

Student Applicant's Name (if different than applicant)

First Last

In what year will the Student Leader applicant graduate from high school/college?*

Please enter a number from 2022 to 2030.

Home Address of Student:*

Street Address Address Line 2 City State ZIP Code

Student Cell Phone*

Student Home Phone*

Student Email Address*

Student Applicant's Parent Name*

First Last

Parent Cell Phone*

Parent Home Phone*

Parent email address*

Adult Chapter Sponsor/Supervisor Information

Sponsor(s)/Supervisor(s) must be representatives of the sponsoring organization and may NOT be the parent of the student chapter leader.

Name of Adult Sponsor/Supervisor*

First Last

Sponsor must be someone other than the parent of student leader

What is this person's relationship to the student applicant?*

What is this person's position at the school/church/temple/organization?*

Employer/Organization*

Work Address*

Street Address Address Line 2 City State ZIP Code

Work Phone*

Work Email Address

Home Address*

Street Address Address Line 2 City State ZIP Code

Personal Phone*

Personal Email address*

Chapter Goals and Logistics

What are your goals for the chapter?

Where Will Your Chapter's Dresses Be Stored?*

From What Location Will Dresses Be Distributed?*

Occasionally, we ship brochures, t-shirts or extra dresses to our chapters. Please list the shipping address below, and let us know if the location is a home or some place other than a residence.

What email address should Becca's Closet send information to?

Address

Street Address City State / Province / Region ZIP / Postal Code

Your Chapter's Information For The Becca's Closet Website

We recommend that you create a separate email address for your chapter, rather than publish your personal email address on our website

How will your chapter function?*

Collect dresses
Dress drop off location
Will distribute dresses from this chapter
Will collect dresses for another chapter nearby

Please select all that apply. We will post your chapter functions on the website.

Who should someone contact to request a dress?*

First Last

What phone number should people contact to donate or request a dress?*

If they can't reach the above number, what other number can they call?*

Chapter email address*

Where will people go to select a dress?

Street Address Address Line 2 City State ZIP Code

Where can people drop off dress donations?*

Street Address City State / Province / Region ZIP / Postal Code

What type of location is this?*

school, community center, place of worship, other?

Start A New Chapter

Complete Chapter Application

Prospective Becca's Closet Chapter Information

Student Chapter Leader Information

Adult Chapter Sponsor/Supervisor Information

Chapter Goals and Logistics

Your Chapter's Information For The Becca's Closet Website

Start A New Chapter

Complete Chapter Application

Prospective Becca's Closet Chapter Information

Student Chapter Leader Information

Adult Chapter Sponsor/Supervisor Information

Chapter Goals and Logistics

Your Chapter's Information For The Becca's Closet Website

A Special Thanks To All Of Our Supporters