Form

New Member Registration

Please fill out the form below if you are interested in learning more about becoming a New Member of the Junior League of Montclair-Newark, Inc. Someone from the Membership Council will then reach out to you. Thank you.

Your Name?

What is your email address?

Spouse's Name (if applicable):

Mailing Address Street:

City

State

Zip

Birthday

Phone

Brief Employment History:

Current Volunteer Work:

Past Volunteer Work:

Special talents or skills that you bring to a work setting or the JLMN:

A brief biography of approximately 50 words (to be used in our introduction of new members):

How did you hear about the Junior League of Montclair-Newark? (Please check one and provide names of people who referred you, if possible.)

My friend

My realtor

An article in a magazine

An article in a newspaper

A website

Another organization for which I volunteer

I visited the JLMN website (www.jlmn.org)

Other

Please provide additional information on how you heard about us (e.g. your friend's name, the name of the publication/site, etc):

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