L.L.C.O.O.L.J. MEMBERSHIP /Friendship application

Name *

First Name

Last Name

Do you have a mission/plan to make a better difference in your community? *

Yes

No

I want help to develop one

Phone *

(###)

###

####

Enter 3 skills or services you'll freely share with L.L.C.O.O.L.J. *

Networking

Organizational Leadership

Business Consulting

Paperwork (including writing proposals)

Paperwork (NOT including writing proposals)

Graphic Design

Government Liaison (w/navigational support)

Community Liaison

Research

Other (Please describe below)

As a Member, will you model excellence in scholarship and do all you can to maintain a safe, respectful learning environment?

Yes!

Nope! TURN UP!

Veteran Status

Active Military

Retired Military

Not Military

Is this an application for:

Membership

Friendship