Membership Application

Please complete this Membership Application form;

NAME: *

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EMAIL: *

Email

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Phone Number *

AREA OF INTEREST - Where would you like to serve? *

• MENTORSHIP PROGRAM
• MENTAL HEALTH PROGRAM
• HISTORY & CULTURE
• FINANCES
• MARKETING & RECRUITMENT
• FUNDRAISING & EVENT PLANNING
• RESEARCH & INFORMATION GATHERING

(click all that apply)

If any other please explain? *

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