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Embrace Your Passion, Live Your Dream, Change The World
Delores Dalton Farrah Dobbs Pulaski County Chamber of Commerce
804-683-6529 606-802-3360 606-679-7323
[email protected] [email protected] [email protected]
Facebook Page: 236 East Mt. Vernon Street
https://www.facebook.com/yeasomersetpulaski/ Somerset, KY 42501
October 2019
October 2019
March 2020
April 2020
May 2020
March 2020
PART I – Student Information
Student Name Age DOB
Address City / State / ZIP
Student’s Email Address
School Current Grade Graduation Year
Parent / Guardian 1 Name Email Address
Place of Business Primary Phone
Parent / Guardian 2 Name Email Address
Place of Business Primary Phone
Recommender’s Name Recommender’s Affiliation
Recommender’s Email Address Recommender’s Phone
6. Enclose your $20 application fee with your completed application and mail to:
Somerset Pulaski County Chamber of Commerce
236 East Mt Vernon Street
Somerset, Ky. 42501
YEA! Academic Year $XXXX
Academic year begins in October and ends in April Classes meet every Tuesday from 4:00 p.m. to 7:00 p.m. Somerset Community College
Deadline for applications for the 2019-2020 year is
September 20, 2019.
YEA! Academic Year $395
Billing Zip Code: __________________ Credit Card Security Code: ________________
