This Membership Application Form is for use by any organization which screens applicants for membership and can easily be tailored to include your organization’s name or logo. This application requests current information regarding the applicant including his or her name, date of birth, social security number, address and phone numbers. In addition, the application requests information regarding applicant’s employment, emergency contact information, references and detailed information regarding his/her spouse if they are also seeking membership and the name and age of any children if membership privileges are desired. It is important that this Membership Application Form be completed in writing. A written application will prove helpful in the event there are disagreements or misunderstandings regarding an applicant’s qualification for membership.

This Membership Application requests the following:

• Applicant Information: Name of applicant, date of birth, social security number, current phone number and address, how long at this address, if applicant rents or owns and the amount of monthly payment or rent;
• Employment Information: Applicant’s current employer and employment address, how long employed, email address and work phone number, position held and yearly income;
• Emergency Contact: Name, address and phone number of emergency contact person and their relationship to the applicant;
• Spouse Information: If joint membership is desired, all pertinent information regarding the spouse including social security number and employment information;
• Children’s Privileges: If applicant desires membership privileges for their children, the children’s names and ages;
• References: The name, address and phone number of two references;
• Signatures: The applicant and spouse (if applicable) must sign and date this application.

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This attorney-prepared packet contains:

1. General Instructions and Checklist
2. Membership Application Form

State Law Compliance: This form complies with the laws of all states