THE JUNIOR LEAGUE OF KANSAS CITY, MISSOURI
PROSPECTIVE MEMBER APPLICATION FORM
FOR 2010-2011 NEW MEMBER CLASS
Prospective Member: Please complete this application as soon as possible and return it to: Junior League Headquarters,
Admissions Committee, 9215 Ward Parkway KC, MO 64114-3307 by April 1, 2010 or email to admissions@jlkc.org. Your two
letters of recommendation may be included with this application form or sent separately.
Applications will be processed as received. New Members will be made aware of their acceptance by May 1, 2010.
Please type or print clearly.
Name: ______________________________________________________________________________________________
(first)
(maiden or middle)
(last)
(nickname or preferred name)
Formal Title (e.g. Mrs. John Doe, Ms. Jane Doe) : ____________________________________________________________
Home Phone: (__________)______________________ Work Phone: (__________)_______________________________
Cell Phone: (__________)______________________________ Fax: (__________)_______________________________
Street Address: _______________________________________________________________________________________
City: __________________________________________ State: __________ Zip+4 Code: ________________________
Date of Birth: __________________________ Email address: ________________________________________________
(month) (day)
(year)
May we publish your email address on our members only website? Yes __________ No __________ (if you wish to receive
email updates and notifications, you should check “yes”)
Please name your Letters of Recommendation:
Junior League Member:
Community Supporter: _____________________________________________________________________________
Do you have day or evening preference for small group meetings?
Day __________
Evening __________
Briefly explain your commitment to voluntary service (use additional space on back if necessary):
I have read the information provided about Junior League membership and requirements, and have discussed membership
with my proposer and/or another League member. I understand fully the commitment and obligations involved. I am
willing to make both the time and financial commitments necessary to meet membership obligations.
Prospective Member’s Signature: _________________________________________ Date: _____________________
(Continued on next page)
Please tell us about yourself:
Occupation/Job Title: ______________________________________________________________________________
Company/Firm: _____________________________________________________________________________________
College/University Affiliation: ________________________________________________________________________
____________________________________________________________________________________________________
Degrees Earned: _____________________________________________________________________________________
Husband's Name: ____________________________________________________________________________________
Children’s Names and Ages: ________________________________________________________________________
Special Interests: ___________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
__________________________________________________________________________________________________
Work or Personal Skills: ______________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
__________________________________________________________________________________________________
How did you hear about joining the Junior League?
Website
Holiday Mart
Relative
Brochure
Friend
Other (Please explain:) _________________________________________________________________
_________________________________________________________________________________
THANK YOU FOR YOUR INTEREST IN THE JUNIOR LEAGUE OF KANSAS CITY, MISSOURI!