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Virtual Community - Membership Application Form
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* Indicates required question
BASIC INFORMATION
First Name
*
Your answer
Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Daughter's Full Name
*
Your answer
Daughter's Current Grade
*
Your answer
Additional Daughters' Full Name(s)
Your answer
Additional Daughters' Current Grade(s)
Your answer
ADDITIONAL QUESTIONS
Are you currently in a NCL chapter?
*
Yes
No
Were you ever a member of NCL or have you previously applied for acceptance into NCL?
*
Yes
No
If yes, please indicate chapter and status (if applicable).
Your answer
How did you hear about NCL?
*
Your answer
Which informational session did you attend?
*
Choose
July 12th
July 19th
July 26th
August 2nd
August 31st
September 7th
September 21st
September 27th
Did not attend
Do you understand the basic requirements of virtual membership as they have been provided to you? (i.e. meetings and hours requirements, membership fee)
*
Yes
No
Do both you and your daughter(s) have access to a personal computer and internet service for participation in the meetings?
*
Yes
No
Do you or your daughter(s) have any limitations that we should be aware of in relation to engaging in online activities and meetings?
*
Yes
No
Are you available to participate for the full length of the pilot program from September 2023 through May 2024?
*
Yes
No
Do you have previous local community volunteer experience?
*
Yes
No
If yes, please describe your experience.
Your answer
ACKNOWLEDGEMENT
By typing your name, you understand that this application will be reviewed by NCL, Inc., and you will be notified regarding acceptance and/or next steps.
Digital Signature
Your answer
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