Provisional Packet- Candidate Form
We are very excited about your interest in the Junior Service League of Rome. Please fill out the form below completely. You will be contacted in early April with additional information.

If you have any questions, please contact Amy Cox at amydawg@aol.com

Criteria for membership-

Must be 24 years of age prior to January 1st of 2019

Must be a legal resident of Rome or work in Rome for at least 6 months as of January 1st 2019

Must be a responsible and dependable person who possesses the potential and time to become an effective League member.

Name *
Your answer
Mailing Address *
Your answer
Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Email Address *
Your answer
Birthday *
MM
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DD
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YYYY
Spouse's Name (if applicable)
Your answer
Employment *
Employer's Name (if applicable)
Your answer
Sponsor's Name (JSL member sponsoring you) *
Your answer
How did you find out about JSL of Rome? *
Your answer
Please describe any previous or current volunteer experience and/or civic activities. *
Your answer
Why are you interested in membership in the Junior Service League of Rome, and why is this a good time for you to become involved in League? *
Your answer
Do you possess any special skills or training that could be beneficial to our organization (Excel, Website Maintenance, Graphic Design, Etc.)? *
Your answer
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