Visionaries Membership Form

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Full Name *

Email *

Phone Number *

Home Address *

How did you hear about us? *

What is your professional field/area of expertise? *

Are you interested in speaking with a member of the Visionaries Associate Board to learn more about how you can be involved with the Visionaries? *

Yes

No thank you

Please list any skills you are excited about demonstrating with the Visionaries. *

How are you hoping to be involved with the Visionaries? (Please select up to 3). *

Volunteering

Help plan events for Visionaries

Networking with CSC's Board of Trustees

Attend social events

Help fundraise for CSC

Meet others young professionals

Other:

Required

Is there anything else you would like us to know about you? *

Submit

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