JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sedalia Young Professionals membership application
Please complete the following questions to be considered for membership in Sedalia Young Professionals, a Sedalia Area Chamber of Commerce committee.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
How did you hear about Sedalia Young Professionals?
*
Your answer
Referred by
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Employer
*
Your answer
Job title
*
Your answer
Preferred address
*
Your answer
Preferred phone number
*
Your answer
Preferred email address
*
Your answer
Include my information in the Sedalia Young Professionals membership directory
*
Yes
No
Committees
All members are encouraged to serve on a committee for their first 12 months as a new
member. Select one of the following committees:
*
Professional Development: Responsible for coordinating quarterly speakers/events for the group. It includes contacting potential speakers, arranging and securing time/place, etc.
Social Engagement/Networking: Responsible for coordinating quarterly social engagements and updating all social media outlets.
Community Involvement: Responsible for coordinating quarterly community involvement events.
Membership Development: Responsible for new member recruitment and database upkeep.
Required
Annual dues
Dues are payable on an annual basis. Membership is activated upon payment of dues, if applicable.
*
$00.00: I am/My employer is a member of the Sedalia Area Chamber of Commerce
$60.00: I am not/My employer is not a member of the Sedalia Area Chamber of Commerce.
Cash
Check (made out to Sedalia Young Professionals)
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Phillips Media Group, LLC.
Report Abuse
Forms
