2017- 2018 Online Membership Form
Welcome to the Lions Club at the University of Texas Membership Application!

Please read through the application carefully and fill in your responses accordingly.

There are only three things you need to do to become an official Lions Club International member:

1. Complete the Online Membership Application below. Everyone must complete this form once each academic year.

2. Pay $50 dues. We accept cash, check, credit, debit, and Venmo. Payment is only accepted at meetings.

3. Complete three service events!

Please follow the format according to the description in the questions.

If you have any questions on how to join, please contact Alex Nguyen.
Email: a.nguyen98@utexas.edu
Phone: 832-655-4398

Thank you for your time, and we hope to see you soon!

General Information
First Name *
Your answer
Middle Name
Leave blank if you do not have one.
Your answer
Last Name *
Your answer
UT EID *
Your answer
Occupation *
Major *
Your answer
Expected Month & Year of Graduation *
MM/YYYY (ie. 05/2020)
Your answer
Gender *
Shirt Size *
Permanent Address (follow format) *
Address, City, Zip, Countery (ie. 1234 Road Road, Austin, TX, 11111, USA) Include this entire format in ONE line.
Your answer
Temporary Address (follow format) *
Address, City, Zip, Countery (ie. 1234 Road Road, Austin, TX, 11111, USA) Include this entire format in ONE line.
Your answer
Date of Birth *
MM/DD/YYYY (ie. 01/01/1980)
Your answer
Phone Number *
xxx-xxx-xxxx (111-222-3333)
Your answer
Email Address *
Your answer
Can you text? *
Spouse's Name
Leave blank if none
Your answer
Membership Information
I am a *
Member Classification *
If you are a TRANSFER MEMBER, please provide additional information:
Include Member Number (if unknown, email stats@lionsclubs.org), Previous Club Name, Previous Club Number (Separated by commas and new lines)
Your answer
**Acceptance of Membership** *
Do you accept membership into Lions Clubs International and that the standards are limited to persons of good moral character and reputation? Do you recognize the importance of rendering personal service to your community in cooperation with other civic-minded persons? Do you understand that membership is not valid until approved by the club’s board of directors?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms