Application for PYC Membership

For consideration for 2018-2019 membership, please complete an application by June 19, 2018.  An application can be submitted below or mailed in using a paper copy.  For questions, please contact Jessie Rayment at (712)256-9920 or JRayment@promisepartners.org.

Application for Membership

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Please answer the following questions honestly.
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Contact Information
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Personal References
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Signed Name