NCLnewmember

Santa Ynez Chapter
prospective Member Information

Before you start. Please download the New Member Information Packet below.

2017-2018 New Membership Application
File Size:	1411 kb
File Type:	pdf

Download File

PROSPECTIVE MEMBER INFORMATION

* Indicates required field

Prospective Member’s Name *

First

Last

Birth Date (MM/DD/YYYY) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Number of years in the community *

Email *

Home Phone Number *

Cellphone Number *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Prospective Ticktocker Member Information

Name *

First

Last

Father’s Name *

First

Last

Fathers Phone Number *

Birth Date (MM/DD/YYYY) *

Grade Level next Sept. *

School attending in Sept. *

Other School (If not listed) *

Address (If different from Mothers) *

Line 1

Line 2

City

State

Zip Code

Country

Other CHILDREN

Please List any Younger Daughters in the Family

Name *

Birth Date (MM/DD/YYYY) *

Year Entering 6th Grade *

Name *

Birth Date (MM/DD/YYYY) *

Year Entering 6th Grade *

Please List Other Children in the Family and their Ages

Name *

First

Last

Current Age *

Name *

First

Last

Current Age *

Other affiliations

Please List any Current organizational affiliations, community and volunteer positions

Organization *

Position Held *

Length of Involvement *

Organization *

Position Held *

Length of Involvement *

about you

Please list any special interests, abilities and hobbies *

How would you describe yourself? *

Do you know anyone currently in NCL? *

Yes No

If Yes, please provide name

Name *

First

Last

What about membership in NCL interests you? *

Declaration and membership agreement

PLEASE READ AND SIGN THE FOLLOWING BY ENTERING YOUR NAME IN THE BOX BELOW:

I have been informed of membership Obligations for my daughter(s) and myself. We are willing to fulfill these commitments.
I understand that National Charity League, Inc. reserves the right to search public record and to deny or terminate membership based on any conviction of a felony.

Has your sponsor done a thorough job of explaining NCL to you? *

Yes No

I understand that I am being proposed for membership in the National Charity League, Inc., Santa Ynez Chapter. I understand the long term commitment and expectations of volunteers in NCL. I have been informed of and understand all attendance, hours and financial expectations and obligations. I am willing to fulfill these commitments, and wish to be considered for membership in the Santa Ynez Chapter.
I understand and agree that the information in my packet will be reviewed and verified by the Membership Committee and that my name may be presented to the general membership of the Chapter. I further understand that membership is not guaranteed and that the decision of the Santa Ynez Chapter Board of Directors is final.

Prospective Patroness Signature (Please enter your Name in the box below) *

Prospective Ticktocker's Signature (Please enter your Name in the box below) *

Submit

Santa Ynez Chapterprospective Member Information

​PROSPECTIVE MEMBER INFORMATION

Prospective Ticktocker Member Information

Other CHILDREN

Please List any Younger Daughters in the Family

Please List Other Children in the Family and their Ages

Other affiliations

Please List any Current organizational affiliations, community and volunteer positions

about you

​Declaration and membership agreement

Santa Ynez Chapter
prospective Member Information

PROSPECTIVE MEMBER INFORMATION

Declaration and membership agreement