Candidate Questionnaire
This is a confidential questionnaire to be reviewed by the Membership Director of Oak Ridge Country Club.
Primary Applicant Name
*
Prefix
First Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
Date
Age
Marital Status
*
Single
Engaged
Married
Separated or Divorced
Widowed
Applicant Partner or Spouse Name
Prefix
First Name
Last Name
Suffix
Date of Birth
-
Month
-
Day
Year
Date
Age
Desired Membership Type:
*
Full Golf (ages 40+)
Professional Golf (ages 30-39)
Young Professional Golf (ages 21-29)
Sports Activity (ages 40+)
Professional Sports Activity (ages 30-39)
Young Professional Sports Activity (ages 21-29)
GHIN Number (if applicable)
Primary Applicant
GHIN Number (if applicable)
Applicant Partner or Spouse
Permanent Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Please enter a valid phone number.
Cell Phone
Please enter a valid phone number.
Email
*
example@example.com
Partner or Spouse Cell Phone
Please enter a valid phone number.
Partner or Spouse Email
example@example.com
Winter or Other Address (if applicable)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Information
Your Work Information
*
Position
Company
Business Email
example@example.com
Business Phone
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Partner or Spouse Work Information
Position
Company
Business Email
example@example.com
Business Phone
Please enter a valid phone number.
Philanthropy
Oak Ridge members have a long tradition of charitable giving.
Please share with us the organizations you volunteer at or donate to:
*
Names of Immediate Relatives at Club:
*
Names of Members Acquainted With:
*
Children Information
(under 26 years old only)
Child 1:
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
Child 2:
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
Child 3:
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Gender
Male
Female
Name of Sponsor:
First Name
Last Name
All sponsorship materials and printed applications should be submitted to: Karey Kohout, Membership and Marketing Director
membership@oakridgecountryclub.net
Print
Submit
Should be Empty: