Volunteer Application

Prospective Member Intake

Introduction/Description

The Junior League of Midland, Inc. is an organization of women committed to promoting voluntarism, developing the potential of women and improving the community through the effective action and leadership of trained volunteers. Its purpose is exclusively educational and charitable. The Junior League of Midland, Inc. reaches out to women of all ages, religions, and national origins who demonstrate an interest in and commitment to voluntarism.

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

Cell 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

Username must be at least 6 characters long and conform to the following criteria:
lowercase and uppercase letters,
digits 0 through 9,
and these special characters: . @ + - _.

Passwords shall be a minimum of eight (8) characters in length and be comprised of three of the following four groups of characters: Uppercase letters, lowercase letters, numerals, and special characters

Username

Password

Verify Password