KVYP Membership Application
Please fill out this application to become a member of KVYP. Dues are $40 per year. Members are required to attend 4 minor functions per year (Networking Happy Hours, Lunch & Learns, etc.) and one major function (Membership Mixer, Anniversary Picnic, or 5 Under 40 Banquet)

Send any questions or concerns to kirksvilleyp@gmail.com.

First Name
Your answer
Last Name
Your answer
E-mail address
Your answer
Address
Your answer
Phone Number
Your answer
Employer
Your answer
Position
Your answer
Age
Are you between the ages of 21 and 40?
How did you learn about KVYP?
General members are invited to attend KVYP events. If you would like to become more involved in KVYP, you are welcome to join one of our subcommittees. Are you interested in learning more about how to get involved in these committees?
KVYP is dedicated to providing young professionals opportunities in the area of networking, professional development, and community service. Of these, which are your reasons for interest in KVYP? Check all that apply.
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms