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Arizona Elk Society - Vortex Program Application
Contact Information
Name
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First Name
Last Name
Email
*
Verify Email
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Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone Number
*
Commitment
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Can you commit to 8 sessions? They will begin Wednesday, January 17th and run for 8 weeks. Each session will be about 2 hours. If you need to miss one or two that is understandable but we need a commitment to do your best to attend a majority of the sessions.
Yes, I am able to commit
No, I am not able to commit at this point in time but please keep me informed about upcoming veteran opportunities
Transportation
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Do you have reliable transportation to South Phoenix each week?
Yes
No
Please tell us why this program would benefit you
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