PY64 Legislative Oversight Application

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APPLICATION DUE DATE: March 2, 2021 @ 11:59 PM

Fill out the following form to be considered to participate in the Legislative Oversight program at the 64th Annual State Assembly.

Additional Information:
• Applicants must commit to participating in State Assembly and completing any prep work or virtual training
• Delegates must be listed on their Chapter’s roster in order to apply

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電子郵件 *

First Name *

Last Name *

Delegate Email (DO NOT ENTER A SCHOOL EMAIL) *

Confirm Delegate Email *

Delegate Cell Phone *

Grade *