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2017-2018 PINC NEW MEMBER APPLICATION FORM
Due August 7, 2017
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Indicates required field
Name
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First
Last
Date of Birth
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Cell Phone
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Email
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Address
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City
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Zip
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Employment Information
Current Employer
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Position
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How Long?
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Supervisor Name
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Supervisor Phone
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Non-Profit Organization Experience
Prior Non-Profit Experience?
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Yes
No
Option 3
If yes, please explain
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Questionaire
How did you hear about PINC?
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Why are you interested in becoming a member?
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List any PINC members you currently know
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Please provide (3) references and contact information
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One must be an active or associate PINC member. If you do NOT have a current PINC sponsor, you will need to complete a short interview with the executive board.
Are you able to attend monthly meetings (2nd Thursday of each month)
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Yes
No
Can you commit to a minimum 12 hours of community service?
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Yes
No
Have you ever attended our annual event?
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Yes
No
Signature of Agreement
According to PINC By-Laws, PINC may have up to 40 active members on their roster for a given year. Pending room for new members, this application must be completed and submitted by August 7, 2017. Please review the application in its entirety and read the requirements below.
The requirements of an active member are as follows:
Pay $90 for annual dues + Holiday project dues
Willingness to take a Leadership Position each year (if applicable)
Complete a minimum of twelve (12) service hours annually
Pay $50.00 for each service hour which is not completed annually
Attend Monthly Meetings (2nd Thursday of each month)
Pay $5.00 for any unexcused absence from a meeting
Sell at least ten (10) tickets to the annual event, OR sell a minimum of one $500 sponsorship for the annual event, OR garner a in-kind donation of similar value for the annual event
Provide at least 1 silent auction item for the annual event (amount to be determined by the board)
Set-Up, break-down, and any other required prep at any major fundraising event
By signing this application, I understand the commitment of becoming a PINC member.
Type Full Name
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Date
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