Young Professionals of Cooke County

APPLICANT PERSONAL INFORMATION

Title

First Name *

Last Name *

Suffix

APPLICANT PERSONAL INFORMATION

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Date of Birth *

Phone Number *

Email Address *

APPLICANT EMPLOYER INFORMATION

Position/ Title

Organization Address

Address Line 1

Address Line 2

City

Zip/Postal Code

Organization Phone Number

Organization Email Address

Organization Website (if Applicable)

Please include a short bio so we can get to know more about you. Two or three sentences is fine; no life stories.

What are you looking to get out of YPCC?

Please list any other area clubs or organizations that you are a part of:

How long have you lived in Cooke County?

Years

How long have you worked in Cooke County?

Years

Shirt Size

Small Medium Large XL 2XL 3XL

If Yes, which one(s)?

Leadership Council Membership Council Service Council Social Event Council

MEMBERSHIP AGREEMENT

YPCC reserved the right to photograph individuals at YPCC events and post the pictures on social media. By attending YPCC events, there is a possibility that your picture may be included on our social media page or used elsewhere. By applying for membership with YPCC, you agree not to hold YPCC, the Gainesville Area Chamber of Commerce, its board, any parent groups or companies, or any host location for events liable for injuries or losses you may incur while participating.

MEMBERSHIP TERM

Membership period is January 1 through December 31 of each calendar year.

If you and your spouse are both joining, each person should complete their own application. Include your spouse’s name here:

Member Signature *

Signature Date *

Uploaded Completed Membership Application Below

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Pages

Members

Categories

Quicklinks

Events

Pages

Members

Categories

Quicklinks

Events