Auxiliary Membership Application

Membership Application
APPLICANT INFORMATION
First Name*
Middle
Last Name*
Address*
City*
State*
ZIP*
Cell Phone*
Home Phone
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Are you over the age of 18?*

YesNo
Unit #*
Location*
Have you ever been a member previously?*

YesNo
Previous Unit
City
State
ALA ID# if known
Todays Date*

MonthDayYear
Date
Signature of Applicant or Legal Guardian if under 18*

Clear
ELIGIBILITY INFORMATION
Eligible Through - Name of Veteran (Female Veterans List Your Own Name)*
Eligible Veteran Status*

LivingDeceased
American Legion Member ID
Post #
City
State
If Veteran is deceased. Contact ALA unit about about the necessary military records. For Veterans DD214 Discharge Papers: www.archives.gov/veterans/military-service-records
Veteran Served: (Check all that apply)*

WWI (4/6/1917 - 11/11/1918)Global War on TerrorPanamaVietnamWWIIGulf WarLebabon/GrenadaKoreaOther
Applicant's Relationship to the Veteran*

SelfMale SpouseFemale SpouseGrandmotherMotherSisterDaughterGranddaughter

Legion Recruiter Information
Recruiters Name*
Unit/Post#*
City*
State*
HELP US GET YOU CONNECTED!
I am interested in learning more about:

Volunteering for Veterans, Military and their FamiliesYouth Activities: ALA Girls State, Junior Member Programs and ScholarshipsMember Discounts and ServicesOther
Please contact the following individual about volunteering or joining the Amercian Legion Auxiliary:
Name
Phone
Email
example@example.com
Name
Phone
Email
example@example.com
Name
Phone
Email
example@example.com
Submit this application to the ALA unit you wish to join. If unit is unknown, contact National Headquarters at (317) 569-4500 for assistance. Annual dues must accompany completed application. Ask local contact for amount due. Membership pending approval of application.
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Membership Application