National Council of Negro Women Inc.
Lincoln University Section

Membership Application
(Please print, complete and return to NCNW President)

Annual Dues: $20
(Must accompany application)

Name: _______________________________________ Date:______________

Home Address: ___________________________________________________

________________________________________________________________

Home Telephone: ___________ Campus Room/Building: __________________

Campus Ext: ___________________ Campus Mailbox: ___________________

Tee Shirt Size: ____________________________________________________

Why are you interested in being a member of NCNW?

 

 

Are you willing to participate in all fundraisers and all other activities that NCNW hosts?

 

 

Rate the dedication level that you expect to offer to NCNW. (Circle one.)

1 2 3 4 5 6 7 8 9 10

I aggree to follow all rules, regulations and bylaws set forth by the National Council of Negro Women, Inc. and the Lincoln University Section.

Signature: _________________________________________________________

Date: _________________

Executive Board Use Only:
Date of Induction: _________________________
Signature of President: __________________________________