Part 9a: General Eligibility (Intro)
Choose the answer that you think is correct in Part 9a. If you answer "Yes" to any questions
(or if you answer "No," but are unsure of your answer), provide an explanation of the events
and circumstances in the space provided in Optional: Provide explanation box given below.
Please select Yes or No.
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If you answered "Yes" to Item Number 1., complete Item Numbers 2. - 9. If you were a member of more than
two organizations, use the space provided in Part 14. Additional Information.
Organization 1
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3. City or Town State or Province
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Organization 2
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7. City or Town State or Province
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