Membership Application
 Main Page    Application Form    Jobs

Fields marked with '*' are required

Is this a new membership or a renewal? New Renewal

*Name:

Job Title:

Company/Organization/School :

Address:

Apt/Suite:

City:   State:   Zip Code:

*Work Phone:   E-mail:

Fax:   *Home Phone:

Org/Company Website:

Are you? paid staff  consultant   volunteer  student other

What percent of your time you spend on fundraising/resource building activities:

In which area?  

Education         Faith-based

Social Services          Community Organizing

Healthcare           Other

 

What is your primary purpose for joining LID?

To attend educational events

To attend networking events

To market my business

To become involved in the community through LID

Other (please specify)


 
Are you interested in serving as a mentor? Yes      No

 

Are you interested in joining a committee?   Yes      No

 

If yes, which one?   Marketing      Education   Membership

 

How did you learn about LID?

LID Website

Word of Mouth

Attended LID event. Which event?

Referred by LID member. Please tell us who referred you:

Other (please specify)

 

 Membership Options

$30  Individuals

$15  Students (must provide valid identification)

 

Method of Payment

Enclosed is a check for

Please make your check payable to Latinos in Development. Please print this document before submitting online and mail it with your check to:

Latinos In Development, NFP, PO Box 803157, Chicago, IL  60680-3157

*I agree with LID's mission statement and will abide by the Association of Fundraising Professional's Code of Ethical Principles and Standards of Professional Practice. Yes No
 
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Darnell Clark, Rosa M Diaz, Rosaileen Diaz, Vianna Guillermo,
Mehret Maru, Julio Romero, Janette Torres, Fanus Woldegebriel