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MEMBERSHIP APPLICATION
Junior Service League Membership Application
First name
Email
Last name
Phone
Home Address
Year you first established residency in Volusia County
Birthday
Occupation and company
Education (degrees/certifications/etc.)
Marital Status
Significant other's name and occupation (if applicable)
Children's name and age (if applicable)
Previous community service, volunteer efforts, and/or league affiliations
Special interests, talents, or hobbies
Name of friend(s) in the league (active member or past member)
Submit Application
Thank you for submitting your application!
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