OAHU COUNCIL OF
FILIPINO CATHOLIC CLUBS
CO-CATHEDRAL OF ST. THERESA
MEMBERSHIP APPLICATION
(please print clearly)
PERSONAL INFORMATION
Name:
Address:
City/State/Zip Code:
Home phone:
E-mail address:
Birth date (yr optional):
Occupation or retired from:
Member of parish since?
Hobbies:
Marital status:
Spouse name:
Work:
Cell:
Date of marriage (optional):
SERVICE INVOLVEMENT
Please list all organizations, ministries, etc. that you are involved in within and outside of parish. If possible,
please include dates. (If necessary, please use additional sheets.)
Organization/Position
1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
4. ___________________________________________________
5. ___________________________________________________
From: ___________ to ___________
From: ___________ to ___________
From: ___________ to ___________
From: ___________ to ___________
From: ___________ to ___________
COMMITTEES OF INTEREST
Please feel free to note the committees or positions that you may be interested in this organization:
______________________________________________________________________________________
For new members:
I have received a copy of the Constitution and By-Laws for __________________ Filipino Catholic Club.
[FCC Unit]
Signature: _______________________________________________
Date: _______________________
Recruited by:
2/12/2016
******************************
Dues paid:
Membership effective: