What is your name?
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First
Last
What school do you attend?
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What City is your school in?
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What State is your school in?
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What's your email?
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What's your phone number?
About how many teens do you expect?
Please provide additional details why you are interested in starting a JSU club, has JSU existed in your school previously, etc.
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How did you learn about us?
Friend
Family member
Newsletter or other publication
Tabling at organization event (BBYO, JCC..)
Open house
Other
Please Specify
Anything else we should know?