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Young Professionals Council (YPC) Interest Form

Want to be part of Synergy's Young Professionals Council?

Please complete the form below. Required fields marked *

Contact Information

First Name*

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Last Name*

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Company/Organization*

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Title*

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Email*

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Mobile Phone*

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Address

Street Address*

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City*

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Zip/Postal*

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Please share your brief responses to the following three questions.

1. Why do you want to join Synergy's Young Professionals Council?

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2. What skills, knowledge, and expertise would you bring to the Young Professionals Council?

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3. What do you hope to gain from participating in the Young Professionals Council?

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4. Please share anything else that you would like us to know.

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Confirmation Email

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