Volunteer Application

Fall 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 mid/late September, 2022. 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 usernames must be at least 6 characters long and can include::
Uppercase letters,
Lowercase letters,
Numbers,
Special characters (Only . @ - _ are supported characters for usernames)

Passwords must be at least 8 characters long and must include:

At least one uppercase letter

At least one lowercase letter

At least one number

At least one special character (The @ symbol is not supported)

Username

Password

Verify Password