KACC Membership Application 2019
By submitting this membership form, I agree to abide by the KACC Code of Conduct. Please submit your $50 payment via Venmo to KACCHICAGO. If you have any questions about payment, please contact jjohnson@kac-chicago.org.
First, Middle & Last Name: *
E-mail *
Undergraduate School & Major (if none indicate N/A): *
Graduate School & Major (if none, indicate N/A): *
Place of Employment, if any: *
Occupation: *
Industry: *
Gender: *
Age range (not included in Membership Directory): *
Required
Which neighborhood do you live in? *
Are you interested in joining a committee?
Do you have skills you'd like to share?
Which non-profits have you served on, if any?
KACC Membership Directory *
Required
Referred by: *
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