NCNW CHICAGO CENTRAL SECTION 2026-2027 MEMBERSHIP APPLICATION

2026-2027 MEMBERSHIP APPLICATION

The mission of the National Council of Negro Women is to lead, advocate for, and empower women of African descent, their families, and communities
Date*

MonthDayYear
Date
Title:

Ms.Miss.Mrs.Dr.Rev.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Birthday (MM/DD)*
Please check affiliate organization(s) you are a member of:*

Alpha Kappa Alpha Sorority, Inc.American Federation of TeachersAuxiliary of National Medical AssociationChi Eta Phi Sorority, Inc.Chums, Inc.Continental Societies, Inc.Delta Sigma Theta Sorority, Inc.Eta Phi Sorority Inc.Gamma Phi Delta Sorority, Inc.Iota Phi Lambda Sorority, Inc.Jack and Jill of America, Inc.Ladies Auxiliary, Knights of Peter ClaverLambda Kappa Mu SororityLas Amigas, Inc.Les Gemmes, Inc.National Association of Black Social WorkersNational Assoc. of Negro Business & Prof. Women’s ClubsNational Association of University WomenNational Bar Association, Women Lawyers DivisionNational Black Nurses Association, Inc.National Coalition of 100 Black WomenNational Coalition on Black Civic ParticipationNational Delicados, Inc.National Grand Chapter Order of Eastern Star, National Supreme CouncilNational Sorority of Phi Delta Kappa, Inc.National Women of Achievement, Inc.Sigma Gamma Rho Sorority, Inc.Swing Phi Swing, Social Fellowship, Inc.Tau Gamma Delta Sorority, Inc.The Charmettes, Inc.The House of the Lord Churches, National Department of Women’s WorkThe Links, Incorporated and Links Foundation, Inc.Top Ladies of Distinction, Inc.Women’s Home & Overseas Missionary Society, AME Zion ChurchWomen’s Missionary Council, CME ChurchWomen’s Missionary Society, AME ChurchZeta Phi Beta Sorority, Inc.NONE
Age*

11 - 17 years old (YOUTH)18 - 22 years old (COLLEGIATE)23 - 35 years old (YOUNG ADULT)35+ years old (ADULT)
Membership Status*

NewRenewal/Reactivation
How did you hear about our section?
Annual Memberships & Dues

$20 Youth ($10 National + $10 Local)$40 Collegiate ($25 National + $15 Local)$175 Young Adult & Adult ($75 National + $100 Local + Annual Assessment)
LIFE MEMBERSHIPS & DUES

$1100 Life Member ($1000 National one-time payment) + ($100 Local + Assessment due annually)$1600 Legacy Life Member ($1500 National one-time payment) + ($100 Local + Assessment due annually)
MEMBERSHIP DUES INFORMATION
1. $1000 Life Membership Dues can be paid in a one-time payment OR two (2) bi-annual installments OR four (4) installments of $250 in 12 months directly to the NCNW national office.
2. The $1600 Legacy Life Membership Dues can be paid in a one-time payment OR two (2) bi-annual installments OR four (4) installments of $375 in 12 months directly to the NCNW national office.
3. Chicago Central Section members are responsible for $100 Local Dues + an Annual Assessment.
I am interested in serving on the following committee(s)*

CaresCommunity Service & OutreachEconomic Empowerment & EntrepreneurshipFundraisingHealth & WellnessMembershipPolicies & ProceduresScholarshipSocial JusticeSocial & HospitalityTechnologyYouth & Young Adult
Mail all checks or money orders payable to:

NCNW Chicago Central Section

P.O. Box 438614

Chicago, IL 60643

OR

ZELLE: treasurer@chgocentralncnw.org

Memo: New Member Membership
Should be Empty: