Club 1888 Application Club 1888 Application First Name * Last Name * Preferred Pronouns Street Address * City * Postal Code * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Email * Phone Check your top 2 strengths from the list below (this will help us determine which team to place you in) * Networking Event Planning Listening Fundraising Content Development Organization Giving feedback Check your top 2 interests from the list below (this will help us determine which team to place you in) * Event Planning Fundraising Volunteering Networking Creating Social Media Content Graphic Design Writing News Letters Note Taking Please check all the teams you would like to be considered for. Connector Mentor Communicator Change Agent Why do you want to join Club 1888 * Please share any additional knowledge/experience/identity you feel is important to highlight and bring to your contribution to Club 1888. * What are some ways we can empower women and eliminate racism? * Would you like to be contacted for or explore a potential leadership opportunity within Club 1888? * Yes No If you are interested in setting up a 1 to 1 phone call to further discuss the program or any information included on the application, please list some dates and times you are available below. Upon submission, this form will be reviewed by YWCA NorthEastern NY Staff. After review, you will receive an email response with further directions. Please contact Kindra McHale at firstname.lastname@example.org with any questions. Thank you so much for your interest Club 1888! Submit If you are human, leave this field blank.