Panelist Form
We are starting our newest program soon! The Willcox Heritage Pathways Program is funded by AZ Complete Health and the Legacy Foundation of Southeast AZ, and we will be connecting graduates from today and yesterday! We are looking for panelists to participate! If you graduated from Willcox High School in the 50s or the 2020s we want YOU! Compare and share stories of your high school and Willcox experiences with those from generations past or present!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Graduation Year
*
Please enter your graduation year.
What years did you live in Willcox?
*
Please enter the years you lived in Willcox, if currently living, please enter "Current".
Did you live on any of the following growing up?
*
Farm
Ranch
In Town
Please give us some details about your life growing up in Willcox.
*
Please write in detail.
Do you have any Media Production/Videography experience?
*
Please list any and all experience.
Attach a Current Resume
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