Name                                       Address     
  City                                           State         Zip Code     
  Phone # (normal & cell if desired)      
  E-mail                                 
  Year Graduated from JCHS               
  
  What have you done since high school?
                                           
  
  May we share the above info within the Jay County Community?                                     Yes or No
  
  Would you like to know about employment opportunities in Jay County?                             Yes or No 
  
  Do you want the Chamber to circulate your resume among county-wide businesses and industries?    Yes or No
  
  If yes please send an electronic version of your resume to Membership at Jay County Chamber
  
  Would you consider starting a business in Jay County?                                            Yes or No
    
  If yes what type of business?          
  
  Would you like business start-up information?                                                    Yes or No