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MS Young Leaders Network Registration Form

Thank you for your interest in the MS Young Leaders Network. We look forward to learning about you. Please fill out the form below if you would like to join the MS Young Leaders Network.


Before completing this survey, please note the following expectations for all MSYLN members:

  • Be an ambassador in the community for the National MS Society and expand our sphere of influence.
  • Assist in driving revenue, attendance and the promotion of fundraising efforts.
  • Be creative, solution-oriented, and open-minded.
  • Have a strong network, or a desire to build a strong network in the young professional community.
  • Give or fundraise a $100 contribution each year.












Question - Not Required - What is your personal connection to multiple sclerosis? (choose all that apply)




Question - Required - Where do you see your greatest strength(s) and interest(s)? (Check all that apply).



   Please leave this field empty