Membership Application Form

Membership Application Form
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)

LADIES INTERESTED IN JOINING, Please follow this link: JOIN THE LADIES A.O.H.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
E-mail
example@example.com
E-mail Confirm
example@example.com
Occupation
Date of Birth (MM/DD/YYYY)

MonthDayYear
Date
Mother's Maiden Name
Irish by ...
Are You Catholic?
Name of Your Parish
Have you complied with your religious duties within the past 12 months?

YesNo
Do you belong to any Society to which the Catholic Church is opposed?

YesNo
Were you ever previously a member of the Ancient Order of Hibernians?

YesNo
Are you a Veteran?

YesNoI am on active duty
How did you first learn about this application?

A church bulletinSomeone shared a QR code with me to this site (not a church bulletin)I was visiting the site and came across the applicationOther
*

I do solemnly pledge my sacred word and honor that my answers to the above questions are true.
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