Chicago-Midwest Chapter Membership Form — Guardian Angels Foundation

Membership Application Form

Become a Member

Complete this application and review the membership agreement before submitting.

Fields marked * are required.

Thank you — your membership application has been submitted. We’ll be in touch soon!

Membership Type *

Chapter Member (non-voting)

Full Name *

Organization / Company

Address *

Phone *

Email *

Occupation / Profession

Community Service Interests

Community Service Women Empowerment Initiatives Volunteer Coordination Fundraising & Outreach Education & Mentoring Event Planning Other:

Acknowledgments

I acknowledge that I support the mission of Guardian Angels – Chicago Midwest Chapter. *

I agree to follow the constitution and bylaws of Guardian Angels – Chicago Midwest Chapter. *

I understand that membership dues are non-refundable. *

I understand the voting rights associated with my membership status. *

I agree to represent the organization with integrity. *

Membership Fee *

Lifetime ($300, non-refundable) Annual ($100, non-refundable)

Membership Fee Due *

Yes, I will pay in person No, I can not pay, I need help.

Date *

Criminal History

Have you ever been arrested or convicted of a crime? *

We ask this to help us understand volunteer member suitability and support safe placement. A criminal history does not automatically disqualify you; however, failure to disclose relevant information may affect your volunteer application or placement.

No, I have not been arrested or convicted of a crime Yes, I have been arrested or convicted of a crime

Background Check

I understand that I may be asked to complete a background check, provided free of charge. *

Waiver

As a volunteer member, I release and hold harmless Guardian Angels Foundation and their successors from any and all claims, costs, suits, actions, judgments, or expenses upon any damage, loss, or injury to me or to my property that may arise from this volunteer event. I acknowledge that I am fully aware of any and all risks posed by these volunteer activities and that I have no medical condition that prevents me from engaging in them. I also give permission to be photographed by project partners or the media for use in printed materials, on the internet, or through other media outlets.

I acknowledge that I have read and understand this volunteer agreement. *

I certify that the information provided in this application is accurate and complete. *

Your name to sign *

Chicago-Midwest Chapter — Membership & Contact

Chapter Contact

Phone

Address

Become a Member

Acknowledgments

Criminal History

Background Check

Waiver

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