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Member Advisory Committee Application

Please fill out this form if you'd like to join our

First name

Last name

Email

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Street Address

City

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Date of Birth * required

Gender

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How did you hear about the Member Advisory Committee?

What other extracurricular activities are you involved in (sports, employment, volunteering, clubs, etc.)?

Why are you interested in being part of the Member Advisory Committee?

What unique perspective will you be able to offer if selected to participate on the Member Advisory Committee?

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Thank you! We’ll be in touch.

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