Membership Application

  • Month and day only
  • (if employed 30 Hours/Week minimum)
  • Please provide name and contact information.
  • Please provide name and contact information.
  • Summary of Voting Membership Obligations: 1) Annual dues of $65.00, 2) Orientation and training, 3) Meetings Monthly, 4) Willingness to support the Mission of Assistance League of Wichita.
  • Check as many as apply.