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Junior League of Winston-Salem Application
Thank you for your interest in the Junior League of Winston-Salem! To apply to become a member, please take a few minutes to fill out our application. The questions are designed for us to learn more about you!

Once you have completed this application, please submit your new member fee ($75) and dues ($150) online: at

Or by mailing a check payable to the JLWS at:
131 Liberty View Lane
Suite 201
Winston-Salem, NC 27101

You will receive confirmation that we have received your application and your payment. Applications and payments must be received by September 1, 2018.

The New Member year begins in early September. You will receive communication from the New Member Development Chair in August with information about upcoming dates, an overview of expectations, and an introduction into the new member class!

To learn more about the Junior League of Winston-Salem and the New Member year, please visit our website at:

If you have any questions, please email Laurie Connolly, Recruitment Chair at

Email address *
First Name
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Last Name
Your answer
Maiden Name
Your answer
Preferred Name (for nametags)
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Street Name
Your answer
Your answer
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Zip Code
Your answer
Preferred phone number
Your answer
Email address
(We're asking this question again; we know, seems repetitive! We asked the first time to ensure you could choose to receive a copy of your responses; this time it's for our records)
Your answer
Date of Birth (MM-DD-YYYY)
Your answer
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Current place of employment
Your answer
How would you describe your current employment?
Marital Status
Children, ages
Your answer
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Tell us about your favorite hobbies.
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Did you join with a friend?
If yes, with whom?
Your answer
Untitled Title
T-shirt Size
Are you a member of any other organizations in Winston-Salem? If so, which ones?
Your answer
What factors influenced your decision to join the JLWS? (1- most important, 5 - least important) *
Please rank all factors. When completed, you will have one circle in each row and column.
Community involvement
Social interaction
Training opportunities
How did you learn about the Junior League?
Your answer
By checking this box, I accept the invitation to provisional membership in the Junior League of Winston-Salem as of July 1, 2018. *
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