Application for Membership
I hereby apply for admission into the Ancient Order of Hibernians in America, Inc., and agree that my reception and continuance in said Order shall depend on the truthfulness of my answers to the questions which are hereto attached. TO BE A MEMBER YOU MUST BE A MALE OVER THE AGE OF 16, PRACTICING CATHOLIC AND BE OF IRISH HERITAGE BY BIRTH, DESCENT OR BE LEGALLY ADOPTED BY SUCH A PERSON AND BE OF GOOD MORAL CHARACTER. (Clergy do not need to be of Irish Ancestry)
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Occupation
Date of Birth
-
Month
-
Day
Year
Date
Irish By
Birth
Descent
Adoption
I am in the Clergy
Mothers Maiden Name
Are you Catholic?
I am Roman Catholic
I am a Catholic Rite recognized by the Pope
Name of Your Parish
Have you complied with your religious duties within the past 12 months?
Yes
No
Do you belong to any Society to which the Catholic Church is opposed?
Yes
No
Were you ever previously a member of the Ancient Order of Hibernians?
Yes
No
Are you a Veteran?
Yes
No
I am on active duty
I do solemnly pledge my sacred word and honor that my answers to the above questions are true.
Submit Your Application
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