KVYP Membership Application
Please fill out this application to become a member of KVYP.

Send any questions or concerns to kirksvilleyp@gmail.com.
First Name *
Last Name *
E-mail address *
Address
Phone Number *
Employer *
Position
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?
Clear selection
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.
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