Author: jim

Victor Valley Gem & Mineral Club, Inc.
Application for Membership

Date: ____/____/___

Name: ______________________________________________ Phone: (___) ____-________
Address: ____________________________________________ Birth Date: ____/____/XX
Anniversary: ____/____/XX
City: _______________________________________________ State: ____ Zip: _____-____
Email:_________________________________

I ___________________________________ and ___________________________________ members of this organization, certify that the above applicant is personally known to us, and would in our judgment, be a valuable member of this organization. We hereby recommend this applicant be accepted as a member with all privileges conferred by the club By-Laws.

All candidates for membership must attend three consecutive regular meetings and be introduced as a membership candidate at each meeting by the membership chairman. This application is kept in the club house and it will be your responsibility to have the membership chairman or an officer record your (three) required meetings.

1st meeting (date and initial) _________________________________
2nd meeting (date and initial) ________________________________
3rd meeting (date and initial) _________________________________

The intent of the club is to disseminate knowledge of the earth sciences and to encourage the study of these subjects through participation. This club is owned an operated by the membership, therefore we need to know any skills, or knowledge you have, so in the future, we can call upon you to help run the club. Take plenty of time to think about, and answer the following questions. If you need more space, We Definitely want you! Feel free to use the back side of this application. As a member, you will be expected to participate in operation the club. You may/will be asked to serve on a committee.

What kind of jobs, or profession have you held in the past?
What kind of schooling have you had?
What kind of hobbies have you had?
Have you ever held an office in another club?
Is there any thing else special about yourself that you would like to tell us?

Accepted for membership: ___________________________ Dues paid: _____/____/________
Membership card issued: ___________________________ Bulletin: ________________________________