Little Neck -Douglaston Memorial Day
Parade Organization, Inc.
42-28 Douglaston Parkway, NY 11363
718-279-3200 Web:
www.memorialdayparade.org
Membership Application Form
Please print and mail to address above
This application has been designed to help us know
our volunteer members, make the best use
of their talents and skills, and assure the public of the reputation of the
Organization and its activities.
| Personal Information: | ||
| Full Name:_________________________________________________________________ | ||
| Address: _________________________________________________________________ | ||
| City: ________________________ | State: _____ | Zip: ___________ |
| Previous address (if less than 2 years): ________________________________________________________ | ||
| Date of Birth: ___/___/____ | ||
| Telephone # Day: (___)_________ | Evening: (___)_________ | Cell # : (___)_________ |
| E-Mail: ___________________________________________ | Fax: (___)_________ | |
| U.S. citizen? Yes [] No [] | INS or Passport number: ________________ | |
| Have you ever served in the military? | Yes [] No [] | |
| Branch: ___________________ | Dates of service: ___/___/_____ | |
| Primary Occupation: _________ | students, please enter school name: __________________ | |
| Retired? Yes [] No [] | Employer Name: _________________________________ | |
| Address: ________________________________________________________________________ | ||
| City: _____________________ | State: _____ | Zip: _______ |
| Telephone No.: (___)_________ | Contact: _________________ | |
| Why are you interested in becoming a member with the Parade organization? ____________________________ | ||
| ___________________________________________________________________________________________________ | ||
| What skills do you possess that you think would be most helpful to our organization? _______________________ | ||
| ___________________________________________________________________________________________________ | ||
| Areas of interest: | ||
| __Administration | __Formation* | __Judging* |
| __Finance | __Line of March* | __Staging Area* |
| __Public Affairs | __Transportation* | __Quartermaster* |
| __Fundraising (Corporate) | __Collation* | __Public Relations |
| __Fundraising (Special Events) | __Security | __Photography / Video |
| __Veteran Benefits / Affairs | __Communications* | __Flags/Banners* |
| __Educational Programs | __Reviewing Stand* | __Interfaith Services* |
| __Other | ( * ) denotes Parade day activities | |
References: List 3 individuals [not related to you] who are familiar with you or your work-related skills
|
Name |
Name of Company |
Company Address |
Telephone No. |
Years Acquainted |
Membership Policies and Release Form
The purpose of this document is to present the policies of
The Parade Organization to all applicants to ensure that they understand and
agree to them at the time an application is submitted.
We, therefore, ask that you please read, complete, and sign
this form before you complete the Application for Membership.
Policies:
Your signature on this Release Form indicates that you have read, understand, and agree to operate under these policies if you are approved for membership by the Parade Organization.
1- Our organization does not discriminate because of age, sex, race, color, national origin, disability, or religious preference.
2 All persons serve the Organization as volunteers, without any expectation of compensation for their efforts. Only expenses approved by the Organization will be reimbursed- Acceptance for membership does not convey any right, title or interest in the Organization, and may be terminated at any time.
3. Smoking is not permitted inside any building while it is a Parade Organization workplace. This rule shall not apply to private dwellings without the consent of the homeowner, but the Organization discourages the practice as dangerous to others.
4. The Parade Organization maintains a drug and alcohol free-workplace- To ensure worker safety and integrity in the workplace, the Parade Organization prohibits the illegal manufacture, possession, distribution or use of controlled substances or alcohol in the Organization's workplace by its members or those who engage or
seek to engage in business with the Parade Organization. Organization functions (i.e. a luncheon) are not considered a workplace for the purpose of this provision.
5. Any volunteer or member who may perform a function considered "sensitive," such as but not limited to finances, handling personal information or involvement with minors will be subject to enhanced scrutiny.
Background Review Activities:
The Parade Organization may conduct the following investigative activities as part of the background review of prospective members. Your signature on this Release Form indicates you understand these activities and you authorize them to be performed with the conditions specified as listed below.
1. Persons convicted of certain crimes may not hold any position in this organization. You authorize the Parade Organization to undertake a criminal records background check.
2. You also authorize and request any and all of your references to furnish any and all information regarding your character and/or job performance. You agree to hold your references and the Parade Organization and its agents harmless from all liability that could relate in any way to the disclosure of private information or an assessment or opinion of your suitability for membership
In closing, we ask that you read the remaining two [2] statements and sign and date this application in the appropriate places below.
Your signature on this Release Form indicates that you have read, understand and accept all the terms and conditions above, and the statements below.
1. I understand that misrepresentation or omission of facts herein is cause for immediate termination of my membership, if I am accepted.
2. I have read and do understand the attached application and have answered all portions of the application truthfully and correctly with no omissions.
| ____________________________________________ | __________________________________ | |||||||||||||
| Signature | Date | |||||||||||||
| Do not write below this line -Organization use only | ||||||||||||||
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( Revised 4/5/02)
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