2018 FYPDC Membership Registration
First Name *
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Last Name *
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Gender *
Date of Birth *
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City and State of Residence *
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If you live in the DC area, please specify. (e.g. Columbia Heights, Navy Yard, Foggy Bottom)
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City and State of Work *
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If you work in DC, which area? (e.g. Columbia Heights, Navy Yard, Foggy Bottom)
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Job Category *
If "Other", please specify
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Job Title
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College or University Attended. Enter school of your highest level of education. Type "N/A" if this does not apply. *
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Degree and Major
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FYP-DC Interests *
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How did you hear about us? *
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Are you a former member? *
Terms and Conditions. YOU ACKNOWLEDGE THAT YOU HAVE READ THE AGREEMENT AND AGREE TO ALL ITS TERMS AND CONDITIONS. YOU HAVE INDEPENDENTLY EVALUATED THE DESIRABILITY OF THE MEMBERSHIP AND ARE NOT RELYING ON ANY REPRESENTATION AGREEMENT, GUARANTEE OR STATEMENT OTHER THAN AS SET FORTH IN THIS AGREEMENT. SEE TERMS AND CONDITIONS. *
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This form was created inside of Filipino Young Professionals Inc.