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BRANCH APPLICATION

First name(Required)

Last name(Required)

Email(Required)

Phone(Required)

State and City of residence(Required)

Introduce yourself!(Required)

What would the name of your chapter be?(Required)

What makes you a good fit to be an YHKA chapter president?(Required)

Gives us two examples of education events that you would host(Required)

Which one of the following would be in your Branch Organization

Marketing Team (2-5 people)

Fundraising Team (2-5 people)

Educational Team (2-5 people)

Development/Coding Team (5-10 people)

Volunteer Coordination Team (numbers can vary)

Volunteers

Other

Stethoscope on Open Book

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