Volunteer Application

Fall 2021 New Member Application

Introduction/Description

Attending a new member orientation is the first step to becoming a NYJL member. At the orientation session, you will learn more about the NYJL, how you can get involved, and next steps in the application process.

Please complete the profile information below. After you submit this form, you will receive an email to verify your account. You will then be able to log in to the NYJL website and register for an orientation session.

The Fall Provisional course will begin in late September, 2021. The exact dates are still to be determined and you will be notified once you are able to register. Meanwhile, we will be reviewing applications on a rolling basis.

We expect to offer the course both in-person and virtually.

You must be 21 years old to apply.

Name

Title

First Name

Middle Name

Last Name

Suffix

Address

Address Type

Country

Street Address

Apt/Suite

City

State

Postal Code

County

Contact Information

Home Phone

Work Phone

Mobile Phone

*One phone number is required

*Please enter a phone number as ###-###-#### or ###-###-####x####

**For international numbers add "+" before the number

Statistical Information

Date of Birth (mm-dd-yyyy)

Create Your Account

New username must be at least 6 characters long and conform to the following criteria:
lowercase and uppercase letters,
digits 0 through 9,
and these special characters: . @ - _

Passwords shall be a minimum of eight (8) characters in length and be comprised of three of the following four groups of characters: Uppercase letters, lowercase letters, numerals, and special characters

Username

Password

Verify Password