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* 1. Please tell us about yourself.

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* 2. How long have you lived in Lafayette County?

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* 3. Please select all that apply to you current employment situation.

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* 4. There are many ways to get involved in YPO.  Please indicate any areas of interest.

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* 5. How did you learn about YPO?

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* 6. Would you like to be contacted by a member of the YPO leadership team?

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* 7. Is there any additional information you would like for YPO to know about yourself?  

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