Volunteer Application

2023-2024 New Member Intake Form

Introduction/Description

The Junior League of Midland, Inc. is an organization of women whose mission is to advance women's leadership for meaningful community impact through volunteer action, collaboration, and training.

Name

Title

First Name

Middle Name

Last Name

Suffix

Address

Address Type

Country

Street Address

Apt/Suite

City

State

Postal Code

County

Contact Information

Home Phone

Work Phone

Mobile Phone

*One phone number is required

*Please enter a phone number as ###-###-#### or ###-###-####x####

**For international numbers add "+" before the number

Statistical Information

Date of Birth (mm-dd-yyyy)

Create Your Account

New usernames must be at least 6 characters long and can include::
Uppercase letters,
Lowercase letters,
Numbers,
Special characters (Only . @ - _ are supported characters for usernames)

Passwords must be at least 8 characters long and must include:

At least one uppercase letter

At least one lowercase letter

At least one number

At least one special character (The @ symbol is not supported)

Username

Password

Verify Password