Zoho Forms

Name *

First Last
Where are you from and how did you end up in NYC? *
What do you do for a living? *
What do you do for fun? *
What is one part of your life that you're working on right now? *
Share a recent win (life or career) with us! What have you been up to? *
What's your favorite JCI event that you've been to and why? *
Do you have any asks, gives, messages for the board or chapter? *
Verification Code *
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