Membership Application Form

Membership Application Form

ABOUT US

The Cincinnatus Association is a membership organization dedicated to understanding the issues facing our community and encouraging progress. The lifeblood of The Cincinnatus Association lies in its ability to focus the efforts, energies and talents of its members on issues chosen by the Association. Our panels reflect categories of particular interest to us: Excellence in Education, Excellence in Government, Community Inclusion and Arts & Culture.

The Cincinnatus Association believes that the quality of life in the City of Cincinnati and in the Greater Cincinnati metropolitan area is among the highest in the United States and can be further improved.

The Association has focused historically on the structure of local government, the quality of public education and economic development. These issues continue to be the primary priorities of the Cincinnatus Association. However, other issues in which the Association has a major or unique ability to increase the quality of life can be pursued at the direction of the membership.

The Cincinnatus Association depends on its members to provide civic leadership in its efforts to improve the long-term vitality of the region.

Annual membership dues are $300 and are billed in August of each year. Individuals interested in membership should complete the following information. If accepted, membership dues will be prorated and invoiced upon acceptance.

The Cincinnatus Association seeks to grow and diversify its membership by including a level of membership that enlists individuals who are under 30 years of age and engaged either in a professional body of work or in volunteer work that is aligned with the stated mission of Cincinnatus or who are students enrolled in an institution of higher education either as a full-time or part-time student. The Association will classify these members as Associate Active Members and will have the same privileges as Active Members per the Cincinnatus Association Constitution and qualify for membership dues that are 50 percent of the current membership rate.

Today's Date*

MonthDayYear
Date
Name*

PrefixFirst NameMiddle InitialLast NameSuffix
Current or Previous Occupation*
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email*
example@example.com
Work Email
example@example.com
Cell Number*
Please enter a valid phone number.
Home Telephone Number
Please enter a valid phone number.
Work Telephone Number
Please enter a valid phone number.
Check those area(s) of interest - see our website for information about our Panels:*

Excellence in Education PanelExcellence in Government PanelInclusion PanelArts Panel

If you are applying as an Associate Active Member (individuals under 30 years of age and engaged either in a professional body of work or in volunteer work that is aligned with the stated mission of the Association or who are students enrolled in an institution of higher education as either a full-time or part-time student), please provide your date of birth or school name for verification purposes.

	Date of Birth	School Name
Under 30 Years
Full or Part-TIme Student

Additional Information:
How did you hear about us?*

A member of CincinnatusA program or event hosted by CincinntusOur websiteSocial mediaOther
If you were referred by a current member(s) of Cincinnatus, please include the member's name(s) below:
Provide a brief resume or bio (you can upload a copy below):
Upload of your resume or bio

Please upload a .docx or .pdf file
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If you have questions or needs, please feel free to reach out to Cincinnatus Membership Committee Chair, J.T. Spence at j.t.s@fuse.net or the Cincinnatus Association's staff at admin@cincinnatusassoc.org or by phone at (513) 294-8588.
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Membership Application Form

Additional Information: