Below is IORG's Inclusivity Statement. This statement guides our actions to insure all girls are successful. Please read before completing the Annual Application. *
I am applying as a/an: *
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Last Name *
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First Name *
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Middle
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Assembly: *
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Certified Chaperone/non board member
Grand Assembly Volunteers
Grand Deputy/Area Grand Deputy
State Team Volunteers
Buena Park
Camellia
Central Coast
Chico Paradise
Chula Vista
Citrus
Cloud 7
Concord
Desert Rose
Diablo Valley
Eden
Fallbrook
Fidelity
Fontana
Foothills of Heaven
Fullerton/Yorba Linda
Gilroy-Morgan Hill
Golden Arch
Golden Star
Green Valley
Heart of the Valley
Helen G. McCallum
Humboldt
Infinity
Lake
Lancaster
Lemon Grove
Livermore
Manteca
Marin
Marysville
Napa
Natalie R. Martin
Natoma
New Hope
Oak Summit
Orange
Petaluma
Quincy
Red Bluff
Redding
Redwood City
Rialto
Rose
Roseville DeRiemer
San Buena Ventura
San Fernando Valley
San Francisco
San Jose
San Pablo
Santa Cruz
Santa Rosa
Stockton
Sunshine
Unity
Vacaville
Vallejo
Vickie K. Diem
Visalia
Woodland
List your current and past titles
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Physical Address *
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City *
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Zip Code (9 Digits) *
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My Mailing Address is the same as my physical address. *
Mailing Address
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City
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Zip Code (9 Digits)
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Home Phone number
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Cell Phone number
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Work Phone number
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Place of Birth *
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Date of Birth *
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Marital Status: *
Name of Spouse (if applicable)
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I am a Member of good standing in the Grand Lodge of
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I am a member of the following Subordinate Lodges : (List all lodges and lodge numbers)
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I am a member of: (OES, Amaranth, White Shrine) list the name and number of each body