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Omega Kappa Zeta Reclaim Survey
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First Name
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Your answer
Last Name
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Your answer
Street Address
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Your answer
City
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Your answer
ZIP Code
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Name of last chapter
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Your answer
Last Year Active
Your answer
What is your Zeta Member ID number?
Your answer
Contact name and phone number of former chapter member
Your answer
Omega Kappa Zeta meets every 3rd Sunday at 2pm (most months), are you available to meet in Tracy on those days?
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Your answer
Our service area is East Contra Costa and the San Joaquin Valley. Are you able to help plan and attend events in those areas?
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Your answer
What ideas, service projects, or programs would you be interested in implementing?
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Please list any ideas and/or ways you can contribute to our chapter.
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What committees would you be interested in joining or leading?
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Publicity
Z-HOPE (Community Service)
Fundraising
Hospitality
Sisterhood
Other:
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