Yankton 101 Application Please complete this application thoroughly. Be concise and focus on the most outstanding and relevant information about yourself. Only this application form will be accepted and considered for admission into the program. Name Block - Simple First Name * Last Name * Address Block - US 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 * Email * Phone * Company * Title * How long have you been in Yankton? * What do you hope to get out of this program? * If accepted into the program, I give permission for my photo to be taken during Yankton 101 sessions & used on the Yankton Thrive website, social media, and Yankton 101 marketing materials. * Yes No
