Application for My 3D Society City Chapter Formation & Leadership Positions
This is an application for persons interested in a leadership position and/or persons interested in starting a city chapter for "My Dizahyrd & Destined Destination Visions & Goals Accountability Society". This program is presented by ADIZAHYR, LLC.

ALL POSITIONS ARE VOLUNTARY & NON-PAID!
Position Term: One Year.

REQUIREMENT TO START A CITY CHAPTER:
- You MUST reside in the city/state in which you desire to start and/or serve a chapter
- You MUST have twenty (20) active members at ALL TIMES to start and maintain a chapter

Email 3dsociety@adizahyr.com with any questions or concerns.
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Full Name *
Phone Number *
Email Address *
Please enter the City & State of the Chapter you wish to form (You MUST reside in city and state that you provide) ***If you are applying for a leadership position please enter the City & State that you are interesting in supporting.*** *
What position are you interested in? *
Required
Where do you see yourself in 3 years? 5? 10? *
What do you plan to accomplish if appointed to a My 3D Society position and how? *
Please provide a FULL Physical Mailing Address (please no PO BOX) so that we can ship your Workbook and Chapter Binder:
 *
Submit
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