Form

JLL Membership Application

Please Choose Desired New Member (Provisional) Class

CONTACT INFORMATION

First Name

Last Name

Street Address

Apartment/Unit

City

State

ZIP

Cell Phone

E-mail Address

ABOUT YOU

Please tell us how you heard about the Junior League of Louisville

Are you a Louisville native?

If no, where are you from?

Age Range

Birthdate

Number of Children and Ages (If applicable)

Please list any organizations, including professional, in which you are currently a member

EDUCATIONAL BACKGROUND (For informational purposes, not required)

*Please Visit our Website for a list of Community Projects and Involvement*

www.juniorleaguelouisville.org

High School

Year of Graduation

College (Undergraduate)

Year of Graduation

Degree

College (Graduate)

Year of Graduation

Degree

EMPLOYMENT (For informational purposes, not required)

Company

Classification

Position

Work Phone

The Junior League of Louisville tries to support businesses owned by our members whenever possible.
If you are a business owner, please list the name of the company and the type of services provided so that we can show our support, if possible!

Personal Business / Services Provided

DISCLAIMER AND SIGNATURE

I have reviewed the enclosed information regarding membership in the Junior League of Louisville and I understand the responsibilities and obligations of Provisional Member

Check to Sign Agreement

Date

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