Membership Application APPLICANT'S INFORMATION Name * First Name Last Name DOB * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Mobile Phone * (###) ### #### APPLICANT'S FAMILY Spouse / Partner's Name First Name Last Name Children? COMMUNITY AND CIVIC INTERESTS The Pelham Civic Association offers a wide variety of volunteer opportunities. As a starting point and in order to help us understand your interests so as to introduce you to the appropriate committee volunteers, please give us a preliminary feel for your interests. Check as many as you wish. This is not a commitment of any kind – merely a starting point for you to explore. You may certainly change your mind at any time and as often as you like. Programs Career Awareness Workshops Community Awards Good Neighbors Help a Child, Change a Life Seniors Programs Events Golf Outing Fall Gala Holiday Party Memorial Day Parade Pelham K-5 Olympics Raffles Pelham Half Marathon and 10K Toonerville Music Festival Other areas of interest and/or special skills? APPLICANT'S VOLUNTEER PROFILE Other Organizations Please indicate any other volunteer organizations or activities in which you may currently, or in the past (including years), have participated, including town groups, schools, parishes, coaching, etc. Civics Events You've Attended List names and dates, or details you remember Thank you!
