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National Association of Community Job Clubs Application

The organization described below hereby applies for membership in the National Association of Community Job Clubs. The association is a member-supported organization so each Club pays an annual dues of $96 which covers individual participation by an unlimited number of Club facilitators, administrators and support personnel.

Please provide all of the requested information. Once your application is received and processed, you will receive a New Member Welcome Packet in the mail. If you have any questions about the information being requested, please contact the Executive Director of the International Association of Employment Web Sites at 203-964-1888 or director@employmentwebsites.org. Thank you.

Name of organization sponsoring or operating the job club: *

Name of job club: *

Postal address of the job club: *

Web-site of the job club -- if applicable:

Community or communities the job club will serve: *

Number of years the job club has been operating: *

Name of the job club facilitator or leader: *

Telephone number of the job club facilitator: *

Email address of the job club facilitator: *

Names and email addresses of job club representatives to receive the Member e-newsletter:

How did you hear about the NACJC:

I certify that the Community Job Club described above is owned or operated by a faith-based, social service, civic or similar organization.

Click on the "Send email" button below to transmit your application form to the National Association of Community Job Clubs. You will receive a return message that acknowledges our recent of your application and provides a secure method for you to pay your first year's dues ($96.00). Applications cannot be processed until your dues payment is received. Thanks for your interest in the National Association of Community Job Clubs. We look forward to welcoming you into the organization.

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