Form

2022-2023 Membership Application Form

Contact MemberDev@jlspacecoast.org for any questions related to league membership.

Contact Information

First Name

Last Name

Maiden Name

What are your preferred pronouns?

Contact Phone Number

Email Address

Volunteer Experience

What was your most meaningful volunteer expirience?

Special Skills, Interests, and Abilities

What do you feel is Brevard County's greatest community need at this time?

How Did You Hear About the Junior League of the Space Coast?

Were you referred by a Junior League Member? If so, who?

Member Commitments

Financial Obligations

The application and $160 new member dues must be paid in full no later than September 1st, 2022 to complete your membership application process. Upon submitting this application, you will receive an email from our Membership Committee with instructions on how to set up an online account and pay member dues through our online member portal.

League Requirements

Applicants must be 21 years of age by September 1st 2022 to be eligible for membership.
Applicants must reside within Brevard County.

Brevard County - Residing City

I certify that I have read and agree to the new member commitments listed above.

Cancel