PPIA Alumni Chapter Leadership Team Interest Form
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Email *
Name *
JSI Location *
JSI Year (if not applicable, write N/A) *
PSW Location (if not applicable, write N/A) *
PSW Year (if not applicable, write N/A) *
Which alumni chapter leadership team are you interested in joining? *
Are you interested in starting a new chapter or an affinity group? If so, where would the location be, or what would the affinity group be? (if not applicable, write N/A) *
Which alumni chapter activities would you be most interested in supporting? (you can select multiple) *
Required
Have you attended any other pipeline programs? *
Required
Do you have any questions/comments?
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