New Club Application

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* 1. Please complete the following:

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* 2. Are there currently any social media pages for your region?

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* 3. If yes, what are the links to the pages?

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* 4. Club Chair Contact Information:

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* 5. Club Chair-Elect Contact Information:

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* 6. Events Chair Contact Information:

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* 7. Communications Chair Contact Information:

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* 8. Membership Chair Contact Information:

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* 9. Please list any additional leadership interest below:

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* 10. Please summarize any club events, happenings, and/or successes from the past year.

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* 11. Please summarize club events and/or opportunities planned for the upcoming year.

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