Team Beverly Hills Application

Team Beverly Hills
Application

THE 2019-2020 PROGRAM APPLICATION PERIOD IS NOW CLOSED.

Applications�were due on Friday, June 14, 2019
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Name
Address (BH Post Office or PO Box Address NOT Allowed)
Zip Code
Email
Daytime Phone
Evening Phone
Daytime Fax
Evening Fax
How long have you been a resident of Beverly Hills? (A minimum one year residency recommended)
Occupation
Employer
Work Address
Work Zip Code
List community service within the City of Beverly Hills over the last five years:
Please indicate dates/vacations/etc. you are planning, and will NOT be available to attend:
Why would you like to participate in Team Beverly Hills?
How did you hear about Team Beverly Hills?

Please Note: Class Fee is $50 per participant, payable after acceptance into the program. Fee covers participation in 10 sessions/meetings, program materials and food/refreshments at each session.
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