Form

2023-2024 Provisional Application Form

Instructions

We are thrilled that you are interested in being a member of the 2023-2024 Provisional Class with the Junior League of St. Petersburg! Please complete the application below as the first step to becoming a member. Applications are due by March 15, 2023.

The Junior League of St. Petersburg’s Eligibility Requirements:

Applicants must be 22 by May 1, 2023 to be eligible for membership.
Applicants must reside or work within Pinellas County.
The candidate must possess an interest in community service.
The candidate must possess an interest in leadership development.

Upon completion of your application, you will be redirected to a Simple Store that is connected to Stripe to submit payment. Your total payment for the year will be $265. Annual Dues are $165.00 (due at the time of application) and Financial Obligation dues are $100.00 (payable now or due by October 1, 2023).

If you would like to confidentially request a payment plan, please contact treasurer@jlstpete.org.

If you need any other assistance with the application process, please contact us at recruiting@jlstpete.org. Applicants will be notified of the status of their application by April 15, 2023.

Personal Information

Prefix

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Street Address

Apt/Ste

City

State

Zip/Postal Code

Phone

Membership Application Information

Your Profession and/or Place of Employment (if applicable)

How did you hear about the Junior League of St. Petersburg?

Why do you want to be a member of the Junior League?*

List any organizations you are involved with or have been a member (i.e. Civic, Service, Professional, Religious, Social, Athletic or other).

Please attach a character reference letter OR a personal statement that describes how your attributes and skill sets could further the mission, vision and goals of JLSP.*

Agreements

Please read each statement carefully. By signing below, you are acknowledging you understand and agree to each of the statements contained in this section.

I understand and am prepared to fulfill the financial obligations by March 15, 2023 and time commitments by April 30, 2024 of the Provisional Member Education Training Program of The Junior League of St. Petersburg.

I understand that the Membership Council will review my completed requirements and, if satisfactorily completed, will recommend to the Board of Directors my ratification as an Active member.

I further understand that if I do not complete all of the Provisional Member Education Program Commitments, I will not be eligible for Active Membership, nor will I be reimbursed for dues or fees.

I understand that having been granted Active status, I will be subject to all Active membership commitments, which include paying membership dues and financial obligation, volunteer shifts and placement on a committee.

I understand that submission of this application does not guarantee entry to the Provisional Membership Class of 2023-2024. Should I not be invited to join, my application fee and any other prepaid dues will be refunded by April 30, 2023.

Dues

Please indicate which form of payment you will be including with your application. Dues are due by March 15, 2023.

Your total payment for the year will be $265. This amount is the sum of the Annual Dues ($165) and Financial Obligation ($100). There are two payment options:

Pay the full amount of $265 now

Pay the Annual Dues ($165) now, and pay the Financial Obligation ($100) by October 1, 2023.

Checks should be made out to the Junior League of St. Petersburg and please include in memo "Provisional Dues/FO" and mailed to Headquarters: 500 Dr. Martin Luther King Jr. Street North, Suite 300, St. Petersburg, FL 33705

*If you would like to confidentially request a payment plan, please contact.

Dues Payment Type

Annual Dues via Credit Card/Online - $165.00

Annual Dues and Financial Obligation via Credit Card/Online - $265.00

Annual Dues via Check - $165.00

Annual Dues and Financial Obligation via Check - $265.00

Signature

Type your name to remit as your digital signature.

Cancel