Junior League of Abilene Candidate Profile
Name (Last, First, Middle)
Preferred Name (if different)
Maiden Name
Husband’s Full Name
Street Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Fax Number
Job and Place of Employment
Email Address
Date of Birth (month/date/year)
Residence Status
Select One
Resident Candidate
Non-Resident Candidate
If Non-Resident, year moved from Abilene:
Candidate Sponsor Group
Sponsor
Phone
Membership Classification
1. Liaison:
Select One
Active
Sustainer
Associate Active
2.
Select One
Active
Sustainer
Associate Active
3.
Select One
Active
Sustainer
Associate Active
4.
Select One
Active
Sustainer
Associate Active
