Apply Now! | YWCA NorthEastern New York

First Name *

Last Name *

Preferred Pronouns

Street Address *

City *

Postal Code *

State *

Email *

Phone *

Check your top 2 strengths from the list below (this will help us determine which team to place you in) *

Check your top 2 interests from the list below (this will help us determine which team to place you in) *

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

Are you able to make a $5 recurring monthly donation to YWCA NorthEastern NY? This would count as a tax write off (EIN # 14-1340139) *

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. A YWCA Staff member will be in touch with you within 48 hours of your submission. Please contact Kindra McHale at [email protected] with any questions. Thank you so much for your interest Club 1888!

Club 1888 Application