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2019-2020 PINC NEW MEMBER APPLICATION FORM
Due August 9, 2019
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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 And/or volunteer Experience
Prior Non-Profit and/or Volunteer Experience?
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Yes
No
Option 3
If yes, please explain
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Questionaire
How did you learn about PINC?
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Why are you interested in becoming a part of PINC?
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List any PINC members you currently know
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Please provide three 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 50 active members on their roster for a given year. Pending room for new members, this application must be completed and submitted by
August 9, 2019
. Please review the application in its entirety and read the requirements below.
The requirements of an active member are as follows:
Pay $100 for annual dues (Holiday Project dues included)
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
Secure 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 participation in 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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