한국청소년아너소사이어티 회원 가입 지원서 KOREAN YOUTH HONOR SOCIETY MEMBERSHIP APPLICATION 
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지원자 이름 (한글) Student Name (Korean)
지원자 이름(영어) Student Name (English) as seen in your passport
지원자 이메일 Student's Email
지원자 전화번호 Student's Phone
지원자 주소, 우편번호 포함 (Student's Address, including zip code)
현재 학교 이름 School Name
현재 학년 School Grade
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생년월일 Date of Birth (MM/DD/YYYY)
성별 Sex
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국적 Citizenship. 국적을 모두 적어 주십시오.  미국 국적 또는 영주권을 가진 경우에는 회원 활동을 근거로 미국대통령봉사상 (US President's Volunteer Award)을 수상할 수 있습니다.
부모 이름 Parent Name (Korean)
부모 이메일 Parent Email
부모 전화번호 Parent Phone
추천인 이름.  현재 학교의 교사중 한분.   Recommender Name.   One of current school teachers
Recommender Prefix
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추천인 이메일 Recommender Email
I certify that all information herein is true and complete to the best of my knowledge and belief. I authorize verification of this information and release all concerned from any liability in connection therewith. 

I hereby apply for membership in Korean Youth Honor Society, and affirm I have read and understand the qualifications for membership. I agree to abide by the rules, regulations, code of ethics and to promote the organization’s objectives and purpose. 

Membership may be cancelled at any time with a written notice. I am aware of any risks associated with this volunteer activity and I agree that Korean Youth Honor Society will not be responsible for any injury or damage to my person or property while I am engaged in duties for the organization. 

If my works create any problems, including copyright issues, I will be responsible for them. I also understand that the organization may terminate my membership at any time for any reason. 

Unless I indicate otherwise in writing, photographs, video tapes, or audio tapes may be taken of me during the course of the activity for use by Korean Youth Honor Society for publicity purposes. My full name and other information about me could be released in the use of the media.
 
Also, I will pay application fee (not refundable) and monthly membership fee (fixed annually).     
지원자 서명.   지원자 이름을 타이프해 주세요.   Applicant Signature.  Please type the applicant's name here.
부모 서명. 부모 이름을 타이프해 주세요.   Parent Signature.  Please type the parent's name here.
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