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TeenWork Alumni Information
Please complete the 2 minute survey below to stay connected.
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1.
Were you a KUB TeenWorker?
(Required.)
Yes (Please fill out the rest of the information sheet.)
No (This survey is for TeenWork alumni only. Thank you.)
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2.
Please provide the following contact information.
(Required.)
Name
*
Address
*
Address 2
City/Town
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State/Province
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
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Email Address
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Phone Number
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3.
What high school did you attend?
Austin-East
Fulton
Central
South Doyle
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4.
What year did you graduate from high school?
(Required.)
5.
Are you interested in attending KUB TeenWork events? (Select all that apply).
Alumni mixers
TeenWork sessions (i.e. volunteer, presenter, sponsor)
30th anniversary celebration
Not interested. (Please share what would spark your interest to attend.)
*
6.
What is your preferred method of contact? (Select all that apply)
(Required.)
Mail
Email
Text Message
Social Media
Please specify your social media handle.
Current Progress,
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