Candidate Application

Last Name

First

Middle

Nick Name

Spouse's First Name

Date of Birth

Street Address

Development

City

State

Zip

E-Mail

Home Phone

Fax

Work Phone

Call at Work?

Employer

Employer's Street Address

Employer's City

Employer's State

Employer's Zip

Who invited you to learn more about the JLW?

How did you hear about the JLW? (check all that apply)

If advertisement, where?

Delaware Women’s Conference

If Delaware Women’s Conference, where/when?

Non-profit Organization

If non-profit Organization, which one?

Other Source

List other sources here:

Why would you like to join the JLW?

Yes, I am committed to voluntarism and interested in community service.

Yes, I am interested in developing my potential for voluntary community participation.

Yes, I have read the JLW mission statement.

Yes, I can accept and complete the training course offered by the JLW.

Yes, I am willing to meet the financial requirement of the JLW membership.

Education and Field of Study: (optional)

Professional Experience: (optional)

Volunteer experience, list current first: (optional)

Hobbies...Interests...Special Talents: (optional)

Favorite Pastime: (optional)

Hometown: (optional)

Yes, I would like to join the Junior League of Wilmington.

Electronic Signature:

Signature Date:

Junior League of Wilmington, DE

1801 N. Market St.
Wilmington, DE 19802

Office: 302-652-0544
Fax: 302-652-0826
Email: jlw@jlwilmington.org

Junior League of Wilmington, DE

Candidate Application

Junior League of Wilmington, DE

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