Influence
Please fill out this form if you want to participate in JU4Y Influence Night.
March 29, 2019 | 7pm-8:30pm
158 W 3rd St. Pomona, CA 91766
(Next to the fox theater)
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
Age *
Your answer
Do you believe you have leader potential? And why or why not? *
Your answer
What are you passionate about? *
Your answer
Name a leader or two that you admire: *
Your answer
Are you committed to 5 meetings? (one year total commitment?) *
What is one thing you want to change in the city?
Your answer
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