Junior League of Tallahassee, Inc. Post Office Box 13428 | Tallahassee, Florida 32317 850.224.9161 phone | 850.224.9306 fax www.jltallahassee.org Application for Membership Proposal for 2015-2016 New Member Class A $60.00 New Member Course Fee is due with Application Submission NEW MEMBER PERSONAL INFORMATION First Name Middle Last __________________________________________________________________________________________________ Maiden Name Date of Birth (must include year) __________________________________________________________________________________________________ Street Address City State Zip Code __________________________________________________________________________________________________ Home Phone Cell Phone __________________________________________________________________________________________________ Work Phone Preferred e-mail address __________________________________________________________________________________________________ Length of Residence in Tallahassee area __________________________________________________________________________________________________ COMMITMENTS & SIGNATURES Proposer: ☐Active ☐Sustainer I believe this candidate will fulfill the new member course requirements. I understand that completion of the course to the satisfaction of the New Member Committee and the Board of Directors is a requirement for admission to Active membership in The Junior League of Tallahassee. I agree to assist and advise my candidate for membership throughout her new member year and I shall cooperate with the New Member Committee in its effort to make that year successful. Signature: ___________________________ Endorser: _____________________________________ Date: ____________ ☐Active ☐Sustainer I agree to assist and advise my candidate for membership throughout her new member year, and I shall cooperate with the New Member Committee in its effort to make that year successful. Signature: ___________________________ Date: ____________ Prospective Member: I understand that satisfactory completion of all financial and course requirements is necessary for admission to Active membership in The Junior League of Tallahassee. I have truthfully completed this membership application and wish to be considered for admission to the 2015/2016 New Member Class. Signature: ___________________________ Prospective Member Name: Date: ____________ Junior League of Tallahassee, Inc. Post Office Box 13428 | Tallahassee, Florida 32317 850.224.9161 phone | 850.224.9306 fax www.jltallahassee.org FAMILY Spouse’s Name (if married): Children’s Names and Ages (if applicable): Family members involved in the Junior League of Tallahassee or any other League (if applicable): Name Junior League of … EDUCATION High School, College(s), advanced degree(s) and/or specialized training: Extracurricular activities, leadership positions held, special honors and awards received during school years: EMPLOYMENT List previous employment in reverse chronological order: Employer Title/Responsibility Dates: (from/to) Business/Professional Affiliations (not including civic organizations): Name of Group Position Held/Responsibility Spouse’s Place Employment T-Shirt Size (this will be for your JLT Volunteer Shirt) Dates: (from/to) Junior League of Tallahassee, Inc. Post Office Box 13428 | Tallahassee, Florida 32317 850.224.9161 phone | 850.224.9306 fax www.jltallahassee.org Prospective Member Name: ____________________________ COMMUNITY INVOLVEMENT List up to five other organizations in which you are actively involved and your role in each: What do you consider your most important accomplishment in one of the above organizations? How much time per month do you typically commit to volunteer work? If you have not had the time or interest to become actively involved, what conditions have changed that now enable you to seek involvement in the community? GENERAL INFORMATION The mission of the Junior League of Tallahassee is “improving the lives of children and families through the effective action and leadership of trained volunteers.” Junior League of Tallahassee membership and our new member program provide training for effective community service and leadership, awareness of community needs and opportunities to contribute to solutions, interaction and partnerships with community leaders, opportunities to make new friends, and opportunities for continued growth and personal development. What would you describe as your strongest assets? What strengths and skills will you bring to the Junior League of Tallahassee? What skills and knowledge to you hope to gain from your membership in the Junior League of Tallahassee?
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