Jubilee Young Leaders

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Radio

Which Task Forces are of interest to you?

Affordable Housing

Development/Fundraising

Economic Development

Education

Engagement/Communications

Facilities/Campus Plan

Public Health

Public Safety

Sports

Career & Personal Interests

How can a Jubilee Task Force help you with your personal or professional goals?

Experience & Expertise

Do you have any experience or expertise related to your preferred Task Force(s)? (If not, it's ok!)

Community Involvement

Are you involved with (or formerly involved with) any other groups, such as church, fraternal, professional, service, or other organizations?

Other Stuff

What else should we know about you?

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