2018-2019 STAR Membership Application

Thank you for your interest in the STAR (Students Tackle Abusive Relationships) auxiliary at Genesis Women's Shelter & Support! Please feel free to share this application with friends and prospective members who may be interested in joining the program.

If you have any questions, please contact Elizabeth Corley, Community Engagement Manager, at 214-389-7714 or ecorley@genesisshelter.org.

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* 1. Please provide the following information.

Full name

Address

City

State

Zip code

School

Grade in 2018-2019 school year

Preferred email

Preferred phone

T-shirt size

Birthday

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* 2. Please provide your parent's contact information for us to keep on file in case of emergency.

Parent's name

Address

City

State

Zip code

Cell phone

Work phone

Email

Company/occupation

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* 3. Please select whether you are applying to serve in a leadership position on the STAR board or as a general member.

Note: Board members are required to have at least one year of experience in the STAR program. The board will meet on a separate basis several times throughout the year and may ask general members to assist with various projects.

General member

Board member

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* 4. If you are interested in serving on the STAR board, please select the leadership position(s) for which you are applying. Feel free to select more than one position.

Vice President

Education Chair

Special Events Chair

Membership Chair

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* 5. Please share why you would like to join the STAR auxiliary and what strengths you would bring to the group.

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* 6. If you have previous involvement in the STAR auxiliary, please share any feedback that may be helpful as we plan our 2018-2019 activities (ideas for fundraiser or volunteer opportunities, changes that need to be made, etc.)