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2019 NYSYD Delegation Application
Please fill out this form to be considered as a delegate or alternate to the 2019 Young Democrats of America National Convention in Indianapolis, IN from July 17-21, 2019.
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First Name
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Your answer
Last Name
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Your answer
Date of Birth
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MM
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DD
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YYYY
Address
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Your answer
Address 2
Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Your Local (County) Chapter
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Your answer
How long have you been a member?
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Your answer
List any current positions you hold in Young Democrats (Local, State or National)
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Your answer
How many national meetings or conventions have you attended? Which ones?
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Caucus Membership (please click ALL that apply)
Asian American and Pacific Islander
Black
College
Disability Issues
Environmental (currently a Working Group within YDA)
High School
Hispanic
Jewish
Labor
LGBTQIA+
Native American
Rural
Veterans and Military Affairs
Women
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