Mavericks Membership Application

West Valley Mavericks
Membership Application

Congratulations on beginning your journey to become a West Valley Maverick. Once completed and received, the membership committee will review and our Membership Chair will contact you. If approved, you will be on probationary status for 3-6 months. This period will allow you to see if the Mavericks are a good fit for you and vice versa. Upon completion of your probationary period, you will interview before the membership committee for a formal interview where a recommendation to general membership will be made to vote for or against acceptance.

E-mail:*

First Name:*

Last Name:*

Date of Birth:*

MM/DD/YYYY format

Please upload a recent photo of yourself:*

Browse Files

A headshot type is suggested

Mobile phone:*

How long have you lived in the West Valley?*

YEARS

Occupation or place of employment*

YesNo

Why do you want to be a Maverick?*

50 words min / 500 max0/500

What do you bring the table if you become a Maverick?*

50 words min / 500 max0/500

Do you have the time to be a Maverick? Do you see any potential time conflicts or other commitments that interfere with a commitment to the Mavericks?*

50 words min / 500 max0/500

How do you feel the Mavericks are perceived in the community and what can you do to enhance this?

50 words min / 500 max0/500

What other community organizations have you been a part of? List any awards or recognition that you have received. Do you volunteer? What other organizations do you support or volunteer with?

YESNO

Name a few potential sponsors or partners that you are willing to pursue on behalf of the West Valley Mavericks Foundation:

Have you been to and supported the West Valley Mavericks Foundation events in the past? Which ones? What year?

YESNO

Please list two active and one Life Member sponsoring you as a candidate:

Do you have any questions?

Hat Size*

Shirt Size*

I, {firstName} {lastName}, do hereby formally request consideration for membership of the West Valley Mavericks. I understand that club membership requires both financial commitments, and I am ready to meet those commitments.

Further, I understand that the West Valley Mavericks organization was founded on promoting Charity, Commerce. Culture, and Community in the West Valley, and that my actions and character should be aligned with these values.

Finally, I agree that my membership in the West Valley Mavericks is governed by the bylaws established by the charter members and that I commit to living up to and adhering to these bylaws.

YESNO

I affirm that a agree to the commitment statement and that the information on this application is true.*

Thank you very much for your interest!

Please don't forget to click/touch the green SUBMIT button! Thank you!

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

West Valley Mavericks Club

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