REPRESENTATIVE APPLICATION

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Hey there! I’m so glad to see you’re interested in joining my junior and senior representative group! We’re going to have a fun year! Come join our group and participate in FREE almost monthly themed sessions!

FIRST AND LAST NAME *

WHAT CITY DO YOU ATTEND HIGH SCHOOL IN? *

THOMASVILLE

CAIRO

MOULTRIE

TALLAHASSEE

VALDOSTA

Other:

WHAT SCHOOL DO YOU ATTEND? *

ARE YOU A RISING JUNIOR OR SENIOR? *

JUNIOR

SENIOR

WHAT IS YOUR INSTAGRAM HANDLE? *

WILL YOU BE ABLE TO ATTEND AT LEAST THREE SCHEDULED GROUP SESSIONS? *

Yes

WHAT MAKES YOU A GOOD CHOICE FOR A REPRESENTATIVE? *

PLEASE INCLUDE YOUR EMAIL AND PHONE NUMBER BELOW *

IF YOU COULD PLAN A SESSION FOR THE GROUP, WHAT WOULD IT BE LIKE? *

HAVE YOU BEEN A MEMBER BEFORE?

Yes

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