Prospective Membership Application

Name


*Title
*First Name	Middle Name	*Last Name
Maiden Name	Preferred Name/Nickname

Address


*Street Address 1
Street Address 2
*City	*State
*Postal Code	Country

Phone and Email


*Cell Phone	Home Phone
Work Phone	Work Extension
*Email Address

Additional Information


*Age as of May 31, 2018 (you must be 23 years of age by 5/31/18 to join)
*Date of Birth (enter in mm-dd-yyyy format)	* Re-enter date of birth (mm/dd/yyyy)
* Are you a legal resident of Wake County? (You must have resided within Wake County at some time during the past five years.)

Sponsor Information


We have many prospective members who seek membership in the Junior League of Raleigh without knowing any of our members. This is completely acceptable: do not let this prevent you from seeking membership in the Junior League, we will assign you a sponsor from our sponsor pool. Please select one of the following options:
I am being sponsored by a member of the Junior League of Raleigh
Sponsor's Name
Sponsor's Email
Sponsor AJLI Number (Please contact your sponsor for their AJLI #)
I am requesting a sponsor

Session Selections


PROSPECTIVE INFORMATION SESSION Applicants must attend one of the following prospective member information sessions. Please select your preferences of meeting dates below. All meetings will be held at the Junior League of Raleigh's Center for Community Leadership, located at 711 Hillsborough Street.
*Session preference: Monday March 19 Wednesday April 11 Either date
*You will be notified by email of your assigned meeting date.*
PROVISIONAL COURSE SESSION SELECTION Provisional members will participate in either the Monday or Wednesday Provisional Course throughout the 2018-2019 year. After the Information Session, you will be asked to choose your night through a survey.

Login Information


Username: Check Username Password: *Verify Password:

Membership Agreement


Other criteria for membership: 1) I am committed to community service. 2) I am interested in developing my potential for voluntary community participation. 3) I am committed to attending EITHER Monday or Wednesday night meetings throughout the 2018-2019 year.
* I have read and understand the requirements as stated above
*Please enter your name as your signature of agreement:
If you have any questions, please contact 2018-2019 Membership Development Committee Co-captains Jenny Anderson and Brandi Davis at prospectives@jlraleigh.org.
After clicking the Submit button below, you will begin the $35 non-refundable application fee payment process.




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