| COMMUNITY REPRESENTATIVE APPLICATION |
Lastname:
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Firstname:
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Address:
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City:
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State:
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Zip:
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Telephone B/:
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Cell/:
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R/:
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Fax:
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E-mail:
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| How did you learn about FTW? |
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| FTW Local Representatives Name: |
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Have you hosted before and or worked for another Foreign Exchange Organization? Explain
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What qualities do you think you can contribute to the organization and this position?
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