Saint Paul Jaycees Membership Application
Must be 18 or older to join. Annual membersip dues is $80
First name	Last name	MI	Birthdate
Home address	City	State	Zip
Home Phone		Home Email
Gender	Married	Children
Male	Yes	Yes
Female	No	No
Name and nature of business you work for		Your business title
Business address	City	State	Zip
Work Phone	Fax	Work Email
If someone referred you or encouraged you to become a member, please include their name here.
Interests/hobbies (ie. I like playing golf, working with kids, cooking, etc.) Fill in this line to the best of your ability. The more complete you can answer this question the better we can match you with opportunities that will be the most fullfilling for you.
	Following are examples of some of the projects the Saint Paul Jaycees organize and participate in. Check the box next to the ones that interest you most.
	Youth Activities - If you enjoy working with children, this is the area for you. Examples are the Naomi Center Bowling, Children’s Holiday Celebration.
	Community Involvement - This is all of the other ways we give back to the community - Blood Drives, Crowd Control at Parades, Park Clean-ups.
	Programs - Educational and social activities. Examples are Saint Paul Saints Game, Personal Finance seminars.
	Recreation - These are the events that get you moving. Examples are Snow Tubing, Hiking, Canoe Trip and Dancing.
	Fundraising - Critical to our chapter operations. Examples are Winter Carnival merchandise sales, City Pages Beer Festival, Basilica Block Party.