New Member Application

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    First Name*

    Last Name*

    Street*

    City*

    Zipcode*

    Email Address*

    Provisional Occupation/Title

    Day Phone*

    Night Phone*

    Cell Phone*

    Maiden Name*

    Spouse's Name

    Children and Ages (Format: Name (age), Name (age), ...)

    Length of Residence in San Jose Area

    Community Activities and Affiliations

    Special Talents and Interests

    Education and Professional Experience

    Friends in Valle Monte League

    Sponsor

    Co-Sponsor

    Length of time Sponsor and Co-Sponsor have known Applicant