Application for Affiliation

Application for Affiliation
Organization Information
Today's Date

MonthDayYear
Name of Organization
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone
Please enter a valid Phone Number
Website
Primary Email
example@example.com
other Email
example@example.com
Organization Head information
Organization head title
If Organization head title is "Other" please specify here
Name

First NameLast Name
Organization head Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Email
example@example.com
Organization Publicity Chair
Name

First NameLast Name
Phone
Email
example@example.com
Organization Newsletter Editor
Name

First NameLast Name
Phone
Email
example@example.com
Organization Questions
Number of members in organization
Upon affiliation FFN will need your membership list
Founding date of the organization
Average number of meetings annually
When do you hold officer elections?
Number of Print newsletters annually
Number of E-news newsletters annually
Does your organization have a written history?
Is your organization incorporated?
Is your organization tax-exempt?
Do you have liability insurance?
Does your organization underwrite scholarships?
Does your organization have a scholarship committee?
List the most important regular cultural and educational activities that your organization sponsors each year for its members and/or the general public
Questions, comments
Your Name

First NameLast Name
Title
Signature
Date

MonthDayYear
Should be Empty:

Application for Affiliation

Organization Information

Organization Head information

Organization Publicity Chair

Organization Newsletter Editor

Organization Questions