2024 Membership
Renewals/Additions/Drops
Pease use this Jotform to let IL Membership VP know of changes to your Chapter Roster. Payment is not needed with this form.
Either type names into each respective box or upload an excel spreadsheet to the form. Any questions please reach out to Membership VP Lanna, lanna.bartko@iljaycees.org .
Chapter
*
Please Select
Addieville Area
Alhambra
Bethalto
Bloomington-Normal
Champaign Urbana
Chatham
Cherry Valley
Colinsville
Columbia Area
DuQuoin
Frankfort Area
Highland
Hoopeston
Marine/St Jacob
Menard County
Mercer County
Naperville
New Baden
Palatine
Peoria
South Mascoutah
Springfield
Steeleville
Sterling Rock Falls
Valmeyer Area
Email
*
example@example.com
Number of New Members
Please Select
1
2
3
4
5
More than 5? Submit second form
Renewals
Please Select
Yes
No
Drops
Please Select
Yes
No
New Member #1
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Industry
*
Please Select
Accounting
Aerospace
Agriculture
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Architecture & Planning
Arts & Crafts
Automotive
Banking
Biotechnology
Broadcast Media
Building Materials
Business Consulting
Business Supplies & Equipment
Business Sustainability
Capital Markets
Careers & Recruiting
Chemical
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
E-learning
Education Management
Electronics
Energy
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Fashion & Apparel
Film & Motion Pictures
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fundraising
Furniture
Gambling & Casinos
Class Ceramics & Concrete
Governmental
Government Relations
Graphic Design
Health, Wellness & Fitness
Healthcare
Higher Education
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Insurance
International Affairs
International Trade & Development
Internet
Investment
Investment Banking
IT
Judiciary
Law Enforcement
Law Practice
Legal
Legislative Office
Leisure & Travel
Libraries
Logistics & Travel
Libraries
Logistics & Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Manufacturing
Maritime
Marketing, Advertising & Public Relations
Markey Research
Mechanical -OR- Industrial Engineering
Media Production
Medical Device
Medical Practice
Mental Health Care
Military
Mining & Metals
Museums & Institutions
Music
Nanotechnology
Newspaper Publishers
Nonprofit Management
Oil & Gas
Online Media
Other
Outsourcing
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Risk Management
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirts
Wireless
Writing & Editing
Which of the following is the member interested in?
*
Individual Growth: personal and professional development
Business and Entrepreneurship: networking and business development
Community Action: advocacy, service, and impact
International Cooperation: networking and international relations
Other
Who Recruited, Employer Info, etc.
New Member #2
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Industry
*
Please Select
Accounting
Aerospace
Agriculture
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Architecture & Planning
Arts & Crafts
Automotive
Banking
Biotechnology
Broadcast Media
Building Materials
Business Consulting
Business Supplies & Equipment
Business Sustainability
Capital Markets
Careers & Recruiting
Chemical
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
E-learning
Education Management
Electronics
Energy
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Fashion & Apparel
Film & Motion Pictures
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fundraising
Furniture
Gambling & Casinos
Class Ceramics & Concrete
Governmental
Government Relations
Graphic Design
Health, Wellness & Fitness
Healthcare
Higher Education
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Insurance
International Affairs
International Trade & Development
Internet
Investment
Investment Banking
IT
Judiciary
Law Enforcement
Law Practice
Legal
Legislative Office
Leisure & Travel
Libraries
Logistics & Travel
Libraries
Logistics & Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Manufacturing
Maritime
Marketing, Advertising & Public Relations
Markey Research
Mechanical -OR- Industrial Engineering
Media Production
Medical Device
Medical Practice
Mental Health Care
Military
Mining & Metals
Museums & Institutions
Music
Nanotechnology
Newspaper Publishers
Nonprofit Management
Oil & Gas
Online Media
Other
Outsourcing
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Risk Management
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirts
Wireless
Writing & Editing
Which of the following is the member interested in?
*
Individual Growth: personal and professional development
Business and Entrepreneurship: networking and business development
Community Action: advocacy, service, and impact
International Cooperation: networking and international relations
Other
Who Recruited, Employer Info, etc.
New Member #3
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Industry
*
Please Select
Accounting
Aerospace
Agriculture
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Architecture & Planning
Arts & Crafts
Automotive
Banking
Biotechnology
Broadcast Media
Building Materials
Business Consulting
Business Supplies & Equipment
Business Sustainability
Capital Markets
Careers & Recruiting
Chemical
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
E-learning
Education Management
Electronics
Energy
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Fashion & Apparel
Film & Motion Pictures
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fundraising
Furniture
Gambling & Casinos
Class Ceramics & Concrete
Governmental
Government Relations
Graphic Design
Health, Wellness & Fitness
Healthcare
Higher Education
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Insurance
International Affairs
International Trade & Development
Internet
Investment
Investment Banking
IT
Judiciary
Law Enforcement
Law Practice
Legal
Legislative Office
Leisure & Travel
Libraries
Logistics & Travel
Libraries
Logistics & Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Manufacturing
Maritime
Marketing, Advertising & Public Relations
Markey Research
Mechanical -OR- Industrial Engineering
Media Production
Medical Device
Medical Practice
Mental Health Care
Military
Mining & Metals
Museums & Institutions
Music
Nanotechnology
Newspaper Publishers
Nonprofit Management
Oil & Gas
Online Media
Other
Outsourcing
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Risk Management
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirts
Wireless
Writing & Editing
Which of the following is the member interested in?
*
Individual Growth: personal and professional development
Business and Entrepreneurship: networking and business development
Community Action: advocacy, service, and impact
International Cooperation: networking and international relations
Other
Who Recruited, Employer Info, etc.
New Member #4
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Industry
*
Please Select
Accounting
Aerospace
Agriculture
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Architecture & Planning
Arts & Crafts
Automotive
Banking
Biotechnology
Broadcast Media
Building Materials
Business Consulting
Business Supplies & Equipment
Business Sustainability
Capital Markets
Careers & Recruiting
Chemical
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
E-learning
Education Management
Electronics
Energy
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Fashion & Apparel
Film & Motion Pictures
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fundraising
Furniture
Gambling & Casinos
Class Ceramics & Concrete
Governmental
Government Relations
Graphic Design
Health, Wellness & Fitness
Healthcare
Higher Education
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Insurance
International Affairs
International Trade & Development
Internet
Investment
Investment Banking
IT
Judiciary
Law Enforcement
Law Practice
Legal
Legislative Office
Leisure & Travel
Libraries
Logistics & Travel
Libraries
Logistics & Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Manufacturing
Maritime
Marketing, Advertising & Public Relations
Markey Research
Mechanical -OR- Industrial Engineering
Media Production
Medical Device
Medical Practice
Mental Health Care
Military
Mining & Metals
Museums & Institutions
Music
Nanotechnology
Newspaper Publishers
Nonprofit Management
Oil & Gas
Online Media
Other
Outsourcing
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Risk Management
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirts
Wireless
Writing & Editing
Which of the following is the member interested in?
*
Individual Growth: personal and professional development
Business and Entrepreneurship: networking and business development
Community Action: advocacy, service, and impact
International Cooperation: networking and international relations
Other
Who Recruited, Employer Info, etc.
New Member #5
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Industry
*
Please Select
Accounting
Aerospace
Agriculture
Airlines/Aviation
Alternative Dispute Resolution
Alternative Medicine
Animation
Architecture & Planning
Arts & Crafts
Automotive
Banking
Biotechnology
Broadcast Media
Building Materials
Business Consulting
Business Supplies & Equipment
Business Sustainability
Capital Markets
Careers & Recruiting
Chemical
Civic & Social Organization
Civil Engineering
Commercial Real Estate
Computer & Network Security
Computer Games
Computer Hardware
Computer Networking
Computer Software
Construction
Consumer Electronics
Consumer Goods
Consumer Services
Cosmetics
Dairy
Defense & Space
Design
E-learning
Education Management
Electronics
Energy
Entertainment
Environmental Services
Events Services
Executive Office
Facilities Services
Fashion & Apparel
Film & Motion Pictures
Financial Services
Fine Art
Fishery
Food & Beverage
Food Production
Fundraising
Furniture
Gambling & Casinos
Class Ceramics & Concrete
Governmental
Government Relations
Graphic Design
Health, Wellness & Fitness
Healthcare
Higher Education
Hospitality
Human Resources
Import & Export
Individual & Family Services
Industrial Automation
Information Services
Insurance
International Affairs
International Trade & Development
Internet
Investment
Investment Banking
IT
Judiciary
Law Enforcement
Law Practice
Legal
Legislative Office
Leisure & Travel
Libraries
Logistics & Travel
Libraries
Logistics & Supply Chain
Luxury Goods & Jewelry
Machinery
Management Consulting
Manufacturing
Maritime
Marketing, Advertising & Public Relations
Markey Research
Mechanical -OR- Industrial Engineering
Media Production
Medical Device
Medical Practice
Mental Health Care
Military
Mining & Metals
Museums & Institutions
Music
Nanotechnology
Newspaper Publishers
Nonprofit Management
Oil & Gas
Online Media
Other
Outsourcing
Package/Freight Delivery
Packaging & Containers
Paper & Forest Products
Performing Arts
Pharmaceuticals
Philanthropy
Photography
Plastics
Political Organization
Primary/Secondary Education
Printing
Professional Training & Coaching
Program Development
Public Policy
Public Relations & Communications
Public Safety
Publishing
Railroad Manufacture
Ranching
Real Estate
Recreational Facilities & Services
Religious Institutions
Renewables & Environment
Research
Restaurants
Retail
Risk Management
Security & Investigations
Semiconductors
Shipbuilding
Sporting Goods
Sports
Supermarkets
Telecommunications
Textiles
Think Tanks
Tobacco
Translation & Localization
Transportation
Utilities
Venture Capital & Private Equity
Veterinary
Warehousing
Wholesale
Wine & Spirts
Wireless
Writing & Editing
Which of the following is the member interested in?
*
Individual Growth: personal and professional development
Business and Entrepreneurship: networking and business development
Community Action: advocacy, service, and impact
International Cooperation: networking and international relations
Other
Who Recruited, Employer Info, etc.
Renewals
Renewals
Drops
Drops
Upload Excel Spreadsheet
Upload Excel Spreadsheet
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