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美国亚裔女性保护协会入会申请表
Membership Application Form of Association for the Protection of Asian women in America
1. 基本信息 / Basic Information
*
Indicates required field
Name 姓名
*
First
Last
Gender 性别
*
Female 女性
Male 男性
Prefer not to say 保密
Date of birth 出生日期(MM/DD/YYYY)
*
Telephone 电话
*
Email 电子邮箱
*
Address 地址
*
Line 1
Line 2
City
State
Zip Code
Country
2. 教育和职业信息 / Education and Employment Information
最高学历 Highest Level of Education
*
职业 Occupation
*
公司 Employer
*
职务 Position
*
3. 加入原因和期望 / Motivation and Expectations for Joining
希望获得的帮助 Expected Support
*
请简述您希望加入美国亚裔妇女保护协会的原因及您对本协会的期望 Please describe why you want to join the Asian American Women’s Protection Association and your expectations from the association:
*
能为协会做的贡献 Contributions to the Association
*
技能和兴趣 Skills and Interests
*
4. 推荐人 / Referrer (if applicable)
推荐人姓名 Referrer's Name
*
与推荐人关系 Relationship with Referrer
*
5. 确认 / Acknowledgment
*
我确认以上填写的信息真实无误,我理解加入美国亚裔妇女保护协会后需要遵守其规章制度,并愿意积极参与协会活动。 I certify that the information provided above is accurate and truthful. I understand that membership in the Asian American Women’s Protection Association requires adherence to its rules and regulations, and I am willing to actively participate in its activities.
我愿意在线捐助1美元,加入贵协会。I would like to kindly contribute $1 online to join the association.
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