Membership Application

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Kindly fill the application form if you are joining Junior Chamber for the first time, as you will be a registered Candidate Member in the local Junior Chamber, JCI Jordan and JCI International.
Title (Mr/Mrs/Miss/Ms etc) ___________ Surname ______________________ First name ______________________________________ Date of Birth (DD/MM/YYYY) __ / __ / _____ Home Address ____________________________________________________ ________________________________________________________________ ________________________________________________________________ City / Town ______________________________________________________ P.O.Box _________________________________________________________ Home Tel _________________________ Mobile ________________________ E-mail Address ____________________________________________________
- I will be happy to receive emails from my local chapter and JCI Jordan for any updates or events.

Occupational Information: - Salaried Employee - Business Owner:

Employer / Company Name: __________________________________ Position: ____________________________________ Business Sector: ______________________________ - University: University Name: ______________________________ Major: ______________________________________

Areas of Interest:

Additional Information

I would be Happy to engage in the following areas of service in JCI: - Individual - Community - Business - International Interest(s): - Debate - Public Speaking - Training (as trainee) - Training (as trainer) - Charity - Starting business - Expanding business - Business networking - Project management - International events Others: (Please write them down: _____________________________________________________________ _____________________________________________________________

What is a Candidate Member?

Upon joining JCI, new members start in the capacity of candidate members. This is, in effect, a test period to allow new members to experience all the different elements of Junior Chamber and to see which ones interest them most. This will help them make an informed choice about which aspects they want to get most involved in. It also encourages chambers to ensure that their local programs provide a variety of opportunities for members both new and old. To become a full member, candidate members must undertake the following: Attend four meetings in at least two different areas of opportunity AND Undertake roles in at least two different projects or initiatives. The time period in which the above should be completed can vary from four weeks (for members who get involved very quickly) up to three months.

(Please Attach Candidate Member Picture)

On completion of the above, the candidate member is then entitled to full membership and will receive a special membership pin and card with a unique identification number. This is required to access some of the areas of the website and has other benefits including discounts at a range of national events or outlets.

I acknowledge all the above mentioned information and I would like to apply to join the Local Junior Chamber of ___________________________ Candidate Member Name:

Additional Information

_______________________________________________________________

Signature _______________________________ Date ____________________

*this form must be logged within a special file for the member in the Local Chapter, where a copy of it must be sent to the National VP of Organizational Growth. *Profile assessment and interview form must be enclosed with this form