Virtual Community - Membership Application Form
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First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number *
Email *
Daughter's Full Name *
Daughter's Current Grade *
Additional Daughters' Full Name(s)
Additional Daughters' Current Grade(s)
Are you currently in a NCL chapter? *
Were you ever a member of NCL or have you previously applied for acceptance into NCL?  *
If yes, please indicate chapter and status (if applicable).
How did you hear about NCL? *
Which informational session did you attend? *
Do you understand the basic requirements of virtual membership as they have been provided to you? (i.e. meetings and hours requirements, membership fee) *
Do both you and your daughter(s) have access to a personal computer and internet service for participation in the meetings? *
Do you or your daughter(s) have any limitations that we should be aware of in relation to engaging in online activities and meetings? *
Are you available to participate for the full length of the pilot program from September 2023 through May 2024? *
Do you have previous local community volunteer experience? *
If yes, please describe your experience. 
By typing your name, you understand that this application will be reviewed by NCL, Inc., and you will be notified regarding acceptance and/or next steps.
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