Form

New Member Application Form

Last Name

Biographical Information

First Name

Middle

Address

Apartment/Unit

City

State

Zip Code

Mobile Phone

Evening Phone

Date of Birth

Email Address

Lee County Native?

Marital Status

Maiden Name

Number of Children and Ages

Education

(For Informational Purposes Only, Not A Requirement For Membership)

High School

City, State

Year of Graduation

College

City, State

Year of Graduation

Major

Minor

Degree

Civic Involvement

(For Informational Purposes Only, Not A Requirement For Membership)

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

Employment

(For Informational Purposes Only, Not A Requirement For Membership)

Company

Address

Classification

The Junior League of Lee County 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

How did you hear about the Junior League of Lee County?

If you heard about JJLC from an existing member or a Community Organization, please list them here

I have reviewed the enclosed information regarding membership in the Junior League of Lee County and I understand the responsibilities and obligations of the New Member.

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