Please print out this page and fill out this Membership Application Form and mail with your check to:
League of Women Voters of Schenectady County
P.O. Box 9135
Schenectady, NY 12309
Name________________________________________________________
Name(s) of additional member(s) in household__________________________
Address______________________________________________________
City_______________________________ Zip Code __________________
Phone (home)___________________ Phone (work/day)_________________
Cell phone_______________Email address____________________________
Amount enclosed $______________________
$55.00 one member. $75.00 two members same household. Other available membership categories: student membership--$20.00.
Dues are not tax deductible. Please write your check to: League of Women Voters of Schenectady County
Comments (e.g. interests, how you heard about the League)
____________________________________________________________
____________________________________________________________
Return to: LWV of Schenectady County, P.O. Box 9135, Schenectady, NY 12309
______$55 Individual ______$75 Household ______$20 Full time student_______
Additional contribution to the League: Amount? ___________ (Dues cover July 1, 2012 to June 30, 2013. Special payment arrangements can be made. League dues and contributions are not tax deductible.)
______I am supporting the League with my membership dues payment, but please consider me an INACTIVE member. ........................................................................................................................
ACTIVE MEMBERS: As a grassroots organization, the League depends upon the work of its members. Even a few hours will help us. Please check below those activities you could be involved with. We always need more help and more members involved.
PROGRAM -- Issues for Study and Action Judicial Issues (Support of alternative treatment courts; court observing; release and recognizance)______ Health Care (Study of proposed health care reforms; local health care issues)_______ Working Group on Girls (Supporting services for girls in Schenectady County) _______ Environment (Monitor local issues, aquifer protection) _____ (Sprawl, land use action) _____ Local Issues (Observing, monitoring local governments, authorities, etc.) _______ Local Education (Monitor city school board meetings) ________ Housing Issues in Schenectady ________
VOTER SERVICE Help organize candidate forums/debates _______ Moderate forums_______ Voter registration _____ Distribute voter publications _____ Updating Who's Who ____ Take Me to Vote Program (for elementary schools) _____
LEADERSPARK (Leadership Training for High School Students) Organizing_____ Teaching _____ Small group facilitation _____ Fund raising_____
LEAGUE ORGANIZATION Assisting with League Events/Meetings: Organizing _____ Hospitality ______ Food ______ Communications: Writer____ Speaker ____ Moderator____ Photography ____ Videotaping____ Finance: Fund drive_____ Special fundraising events_____ Bulletin ads_____ Underwriting_____ Bulletin: Reporting_____ Proof-reading_____ Writing_____ Mailing help_____ Graphics_____ Membership: Phoning_____ Hospitality_____ Membership recruitment______
Any special skills or talents you would be willing to share with the League? (computer, artistic, writing, other skills?)___________________________________________________________
We are a 501(c)(4) organization.