Young Professionals Application Name * Company * Company Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Phone * Email * Referred By & Company * Electronic Signature & Date * Why would you like to be involved in the YP Steering Committee? * I understand that in filling out and submitting this application, I am applying for a Steering Committee position for the Menomonie Area Young Professionals. If I am selected to fill the position, I understand that I will be responsible for attending a monthly meeting and helping with the coordination and execution of quarterly events. Electronic Signature & Date * The Menomonie Area Young Professionals supports the growth and development of 18-39 year-olds living or working in the Menomonie area. Through professional and personal development, philanthropic or social activities, participants develop a network of colleagues sure to benefit them for years to come.