AWC Membership application form - American Women's Club of the ...
AWC Membership application form - American Women's Club of the ...
AWC Membership application form - American Women's Club of the ...
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MEMBERSHIP APPLICATION<br />
AMERICAN WOMEN’S CLUB OF THE HAGUE<br />
Johan van Oldenbarneveltlaan 43<br />
2582 NJ The Hague<br />
Phone: 070 350 6007<br />
Email: info@awc<strong>the</strong>hague.org<br />
Website: www.awc<strong>the</strong>hague.org<br />
All applicants should complete both sides <strong>of</strong> this <strong>application</strong> <strong>form</strong> and return it to <strong>the</strong> <strong>American</strong> Women’s<br />
<strong>Club</strong> <strong>of</strong> The Hague ei<strong>the</strong>r by mail, email or deliver in person to <strong>the</strong> front <strong>of</strong>fice.<br />
Check <strong>the</strong> type <strong>of</strong> <strong>Membership</strong> for which you are applying. There is a one-time € 15 fee for new Members.<br />
<strong>Club</strong> Year is September 1 – August 31. Dues shown are discounted for joining after January 1.<br />
Regular = € 55<br />
U.S. citizen or married to a U.S. citizen and at least 18 years old<br />
Associate = € 55<br />
Business / Pr<strong>of</strong>essional<br />
= € 45<br />
Military = € 27.50<br />
Student = € 17.50<br />
Non-<strong>American</strong> whom ei<strong>the</strong>r holds a valid U.S. Green Card, <strong>form</strong>er member <strong>of</strong><br />
ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong>, or has some o<strong>the</strong>r affinity with <strong>the</strong> U.S.<br />
U.S. citizen or married to a U.S. citizen and employed full-time in <strong>the</strong><br />
Ne<strong>the</strong>rlands<br />
U.S. citizen or married to a U.S. citizen, at least 18 years old and carries a U.S.<br />
military ID<br />
U.S. citizen or married to a U.S. citizen and studying full-time in <strong>the</strong><br />
Ne<strong>the</strong>rlands with a student ID<br />
Please print clearly and fill in <strong>the</strong> blanks as completely as possible.<br />
First Name*<br />
Last Name*<br />
Address*<br />
Postcode*<br />
Home Phone*<br />
E-mail*<br />
Nationality<br />
Occupation (past<br />
or present)<br />
Current<br />
Employer<br />
Partner’s Name*<br />
City*<br />
Mobile<br />
Phone*<br />
Birthdate<br />
(m/d/y)<br />
Home State<br />
in USA<br />
Educational<br />
Background<br />
Work<br />
Phone<br />
Nationality<br />
Employer<br />
Work<br />
Phone<br />
Children & <strong>the</strong>ir<br />
age<br />
*Asterisk items will be included in <strong>the</strong> <strong>AWC</strong> membership directory unless you request o<strong>the</strong>rwise.
The <strong>AWC</strong> is an all volunteer organization relying solely on its members to maintain all aspects <strong>of</strong> operations.<br />
As a member <strong>of</strong> <strong>the</strong> <strong>AWC</strong>, each member should volunteer for at least one activity or committee during <strong>the</strong><br />
year. Please check at least one <strong>of</strong> <strong>the</strong> following areas in which you would be willing to volunteer.<br />
Accounting / Bookkeeping<br />
Marketing / Public Relations<br />
<strong>AWC</strong> Board Position<br />
Welcoming / Newcomers<br />
Holiday Bazaar<br />
Going Dutch Magazine<br />
Tours / Activities<br />
Library<br />
<strong>Club</strong>house Administration<br />
Fundraising / Annual Gala<br />
Computers / IT Help<br />
Food Events at <strong>Club</strong>house<br />
Website<br />
Event Planning<br />
Moms and Tots O<strong>the</strong>r :<br />
How did you hear about <strong>the</strong> <strong>American</strong> Women’s <strong>Club</strong> <strong>of</strong> The Hague<br />
For Associate Members Only<br />
Do you hold a valid Green Card<br />
Have you been a member <strong>of</strong> ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong><br />
Explain o<strong>the</strong>r ties or associations with <strong>the</strong> U. S.<br />
Yes / No<br />
Yes / No<br />
Reasons for wanting to join <strong>the</strong> <strong>AWC</strong><br />
Note: if you do not hold a valid U.S. Green Card or have not been a member <strong>of</strong> ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong>, you must<br />
have two current regular members endorse your <strong>application</strong> before it can be processed. You will be notified <strong>of</strong><br />
your acceptance after <strong>the</strong> next scheduled board meeting.<br />
Sponsor’s Signatures:<br />
I understand that <strong>the</strong> <strong>American</strong> Women’s <strong>Club</strong> <strong>of</strong> The Hague (<strong>AWC</strong>) is a non-pr<strong>of</strong>it organization, and I promise<br />
I will not use <strong>AWC</strong>’s name, its publications, or my association with <strong>the</strong> <strong>AWC</strong> in connection with any<br />
commercial undertaking or in any o<strong>the</strong>r way contrary to <strong>the</strong> purpose and/or goals <strong>of</strong> <strong>the</strong> <strong>AWC</strong>. The <strong>AWC</strong> is<br />
not responsible for accidents or injuries occurring at <strong>AWC</strong> activities or on <strong>AWC</strong> property.<br />
Applicant’s Signature<br />
For Office Use Only<br />
Date Dues Paid<br />
Date <strong>of</strong> Application<br />
Payment Amount<br />
Publish in<strong>form</strong>ation in Directory Yes / No Payment Method<br />
Date