Everwell Initiative

Start a Chapter

Thank you for your interest in starting an Everwell Initiative chapter. Tell us about yourself and the impact you hope to create in your community. An EVI team member will follow up to discuss next steps, expectations, and available resources.

Contact Information

Fields marked with * are required.

Full Name *Email Address *Please use a personal email address you check regularly.Instagram UsernameOptional, but recommended for quick updates.Location (City + State/Country) *

What is the best way for EVI to contact you? *

Select all that apply.

EmailInstagram DMMessages

Your Interests

What motivates you to start an EVI chapter, and what impact do you hope it will have on your community? *Describe the experiences, interests, or values that inspired you.

What type of chapter are you interested in creating? *

Select all that apply.

School-based ChapterCity-based ChapterBoth

Have you participated in health education, STEM, volunteering, clubs, or leadership activities before? If so, please tell us about your experience. *

Do you currently have a group of students or volunteers interested in joining? *

YesNo, but I would like to recruit membersUnsure

Tell us a little more about you. What are your hobbies, interests, hidden talents, or favorite ways to spend your time? Is there anything else you would like us to know? *