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Membership Application
First Name
Last Name
Nickname/Preferred Name
Home Phone
Cell Phone
Work Phone
Email
Date of Birth
Street Address
Development
City, State and Zip
Employer
Title
Profession
Who invited you to learn more about the Junior League of Wilmington?
How did you hear about the JLW? (check all that apply)
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Nonprofit Organization
Other
Why would you like to join the JLW?
Are you committed to:
Yes, I am committed to voluntarism and interested in community service.
Yes, I am interested in developing my potential for voluntary community participation.
Yes, I have read the JLW mission statement.
Yes, I can accept and complete the training course offered by the JLW.
Yes, I am willing to meet the financial requirement of the JLW membership.
Education and Field of Study: (optional)
Professional Experience: (optional)
Volunteer experience, list current first: (optional)
Hobbies...Interests...Special Talents: (optional)
Favorite Pastime: (optional)
Hometown: (optional)
Would you like to join the Junior League of Wilmington?
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No
Electronic Signature:
Signature Date:
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