Start a New Chapter Basic InfoChapter Name(Required)Chapter Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code You may use the address of your Registered Agent on file with your Secretary of State if you do not have a physical location. Email(Required) Phone(Required)Federal EIN NumberAdditional InformationHave you been a JCI Member before?(Required)NoYesWhere and when were you a member?(Required)What leadership experience have you had in the JCI or another similar organization?(Required)How many individuals do you have showing an interest in starting or joining a chapter?(Required)What is the primary reason or goal of starting a JCI chapter?(Required)What is your age?(Required)What is the average age of the members starting your chapter?(Required)