ToGetHer Empowered, Inc. New Member Application
Last Name *
Your answer
First Name *
Your answer
Middle Name
Your answer
Address *
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City *
Your answer
State *
Your answer
Zip Code *
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Home Phone
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Cell Phone *
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Work Phone
Your answer
Email Address *
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What is the best way to reach you? *
Required
Are you on Social Media? *
Required
If yes, Please list your Social Media Handle(s)
Your answer
Birthdate *
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How would you like your name to appear on your name tag and in the ToGetHer Empowered directory? *
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Tell Us About You
Marital Status *
Required
Spouse/Partner's Name
Your answer
Children
Names and Ages
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Occupation *
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Highest Level of Education *
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Hobbies *
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Volunteer Experience
Have you done volunteer work in the past? If so, where? *
Your answer
Are you currently involved with any other organizations or associations? *
Your answer
Why are you interested in becoming a member of ToGetHer Empowered, Inc.? *
Your answer
Recruitment Purposes
This information helps us know where our members are coming from within the community
In which county do you reside? *
Your answer
How did you hear about ToGetHer Empowered, Inc.? *
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Program Overview
The ToGetHer Empowered New Member Program is designed with the purpose of introducing New Members to all aspects of theToGetHer Empowered. The activities and requirements of the program are specifically chosen so each New Member has a better understanding of our community projects, mentoring, volunteerism, fundraising, and social development. ToGetHer Empowered membership is based on one calendar year starting in June. All activities and requirements must be met before becoming an active ToGetHer Empowered member.
Meeting Attendence
1. Attend New Member Orientation
2. Attend 7 General Membership Meetings a year
Financial and Fundraising Requirements
1. Fulfill all membership financial requirements
2. One (1) Event ticket to all fundraising events and campaigns
3. Attend or make a donation of the cost of all fundraising events
4. Membership dues $75 year
Volunteer Placement
1. Participate in the New Member Community Project
2. Work a two half day shifts at the TNT fundraising booth 6 hour fundraising booth (total 12 hours for members joining before July 4; 6 hours for members joining after July 5)
3. Complete 48 hours committee placement a year
4. Complete 24 hours of community service a year
5. Complete 5 hours on fundraising a year
6. Complete 24 hours of recruitment a year
Eligibility Requirements
1. Must be at least eighteen (18) (some events may be restricted to at least twenty-one (21)) years of age. No maximum age restriction.
2. Completed and signed application.
I fully understand the requirements and agree to complete the New Member Program responsibilities.
Applicant Signiture *
Your answer
Today's Date *
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Payment Information
Payment is due by New Member Orientation
A completed application is:
ā— Completed and signed application
ā— $77.48 payment to the ToGetHer Empowered, Inc ($75 plus $2.48 processing fee)

Pay Online:
paypal.me/BlackLadiesInt

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