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KAI Partners, Inc.

1512 Eureka Rd. #215 Roseville, CA 95661

1-916-465-8065

info@kaipartners.com

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YOUNG ADULT APPLICATION FOR MEMBERSHIP (AGES 18 - 25)

* Deadline: October 31, 2023 at 5:00 PM Pacific Standard Time

IF SELECTED, I AGREE TO THE ELIGIBILITY AND COMMITMENT REQUIREMENTS LISTED ABOVE.

PERSONAL INFORMATION

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YOUTH APPLICATION FOR MEMBERSHIP (AGES 14 – 17)

* Deadline: October 31, 2023 at 5:00 PM Pacific Standard Time

IF SELECTED, I AGREE TO THE ELIGIBILITY AND COMMITMENT REQUIREMENTS LISTED ABOVE.

PERSONAL INFORMATION

Legal Name
Legal Name
First
Last
Pronouns
Address
Address
City
State/Province
Zip/Postal

DEMOGRAPHIC INFORMATION

Gender Identity
Sexual Orientation
Racial Identity
Lived Experiences - Select all that may apply.
Start Over