JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Jaycees Membership Questionnaire
Thank you for your interest in joining the Ann Arbor Jaycees! Please fill out this questionnaire and a member of our Membership team will get back to you shortly.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name:
*
Your answer
Email Address:
*
Your answer
Phone Number:
*
(###)###-####
Your answer
Mailing Address:
*
Your answer
How did you hear about the Jaycees?
*
Social Media (Facebook, Meetup, Instagram)
At an event held by the Jaycees
Word of Mouth
Current or former Jaycees members
Employer or networking group
Searching on your own
Other:
Birthday
*
Used to ensure you are between 21 and 40
MM
/
DD
/
YYYY
What are you looking for from our organization?
*
Opportunities for personal growth
Single-day volunteering projects
Access to social events
Making new friends
Building professional/résumé skills
Committee service/leadership roles
Required
Many of our social activities have a food component. To best welcome you in membership, please list any food allergies, intolerances or preferences here:
Your answer
Anything else we should know about you to help you get the most out of your Jaycees experience ?
*
Your answer
Which topics or causes are you most passionate about?
Animal Welfare
Arts and Culture
Children
Disaster and Humanitarian Relief
Economic Empowerment
Education
Enviroment
Science and Technology
Other:
What is your method of payment?
*
I am not ready to join/submit payment, please send me information about becoming a member
I have already submitted payment on
https://jcimi.org/ann_arbor/
Please send an invoice to my email
Please send me an email about payment plans, 3rd party payments or other methods of payment
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ann Arbor Jaycees.
Report Abuse
Forms
