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Home
About
Vision & Mission
WEN Leadership
Patrons
Board of Directors
WEN Board of Advisors
WEN Board of Advisors (Royals)
WEN Board of Advisors (Non-Royals)
Executive Directors
Continental Directors
WEN Empowerment Groups
Start a WEN Chapter
Program Areas
Govt Relations
Civic Duties Activities
Judicial Education
Govt Relations Workshops
Customary Law
Common Law
Voter Education | Registration Drives
VITA ASSISTANCE APPLICATION
Culture Competency Advocacy Mediation MAP
Prevention & Diversion
Supportive Intermediary Restorative Practice
Cultural Heritage Education
Govt. Rel. Services
cCAMP – Network of Legal Expert
Legal Referral Service
Interpreter Services
General & Welfare Assistance
Crises Assistance Application
FITT-IN – Relocation Assistance
Immigration
Government Relations
Family Life & Community
Age Grade
Relationship Management
Men/Women In Family & Community
Parenting
Ageing
Welfare Assistance
Health
Culinary Traditions
Care Package
Ethnic/Culture Advocacy
Health Workshops
Mental Health
Education
CompTIA Authorized Academy Partner
GEDworks
Mentoring
Scholarships
WEN Book Club
WEN Creative Writing
WEN Magazine
Economic Resource & Development
Economic Resource & Development
Resume Building Workshop
Solar Powered Hydroponics System
International Relations
WEN Annual Ethnic Folklore Festival
Chieftaincy Title
Ethnic Studies Experts
Roots LinkUp Tour
History Workshops
Arts and Crafts
Science & Technology
Peace Making & Keeping
WERC PARTICIPANTS
WERC Participation Invitation
Recreation
WEN BASKETBALL LEAGUE OF TEAMS
WEN DB OF VERIFIED ATHLETES
Tours
Engage
Volunteer With WEN
Start a WEN Chapter
Affiliate With WEN
AFFILIATE PROJECTS
Incubate Your Project
Internship & Fellowship
Internship
Fellowship
Ethnic Studies Experts
Project Collaborators
Research & Development
Events | Workshop | Conference
Talenthon
workshops
Conferences
Festivals
Scholarships
WEN Book Club
Careers
Contact
Contact Support Team
Membership Application Form
Volunteer Assignment Form
Non-Disclosure Agreement
Start A Chapter
Family & Community Support
WEN Membership Registration
WEN MEMBERSHIP REGISTRATION
Please enable JavaScript in your browser to complete this form.
Date / Time
*
Date
Time
SECTION 1: Annual Membership Fee
To Engage With WEN, I am Interested in:
*
Volunteering
Internship
To Become a Member, I Will Pay My Membership Fee/Annual Due Fee Of
*
Ebony Child Empowerment (ECE) 0-12 Yrs – $15
Ebony Youth Empowerment (EYE) 13-26 Yrs – $25
Ebony Adult Empowerment (EAE) 27-54 Yrs – $35
Ebony Mature (Sr) Empowerment (EME) 55+ Yrs – $20
Membership fee amount is based on the age group you belong to
I'm Also Interested In
*
Starting a Chapter
Affiliating as Strategic Partner/Affiliate
Incubate my own organization
N/A
How Did You Learn About Volunteer Opportunities at World Ebony Network?
Name of Referral
*
First
Last
Please provide the name reference:
Phone # of Who Referred You
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Email of Who Referred You
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Section 2: Applicant Information (Your Form Will Be Returned if Any Required Field is Not Properly Filled)
Applicant's Name
*
First
Last
Applicant's Agenda
*
Male
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Applicant's Phone Number
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Applicant's Email
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Best Way To Contact You
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I live in Which Continent
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Applicant's Current Address
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Finland
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French Guiana
French Polynesia
French Southern Territories
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Germany
Ghana
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Iraq
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Netherlands
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Panama
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Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
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Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Samoa
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Somalia
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Tajikistan
Tanzania (United Republic of)
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Vietnam
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Wallis and Futuna
Western Sahara
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Country
Applicant's Age Range
*
0 -10 Yrs
11-13 Yrs
14-17 Yrs
18-24 Yrs
25-34 Yrs
35-44 Yrs
45-54 Yrs
55-64 Yrs
65 and Over
What Is Your Birth Month?
*
January
February
March
April
May
June
July
August
September
October
November
December
What is Your Religion, Even if You Are Not Currently Practicing It ?
*
Buddhist
Christian (including C of E, Catholic, Protestant and all other Christian denominations)
Hindu
Jewish
Muslim
Sikh
No Religion
Other religion (please write in the space below)
How Would You Describe Your Ethnic Origin?
*
American Indian or Alaska Native (Eg: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village or Barrow Inupiat Traditional Government, Nome Eskimo Community, etc)
Asian (Eg: Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc)
Black or African American (Eg: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc)
Native Hawaiian Other Pacific Islander (Eg: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc)
White (Eg: German, Irish, English, Italian, Polish, French, etc)
Middle Eastern or North African (Eg: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc)
Hispanic, Latino or Spanish origin (Eg: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc)
Do You own or Rent
*
Yes
No
Disability
WEN has a legal duty to deliver services in a fair and equal manner to disabled people, WEN also has to take disabled people’s views into account when planning and delivering services. WEN also has a legal duty to treat disabled employees fairly, and make reasonable adjustments to support disabled employees in their volunteerism.
Do You Have Any Long-Standing Illness, Disability or Infirmity? (Long-Standing Means Anything That Has Troubled You Over a Period of Time Or That Is Likely To Affect You Over a Period of Time)?
*
Yes
No
Does This Illness or Disability Limit Your Activities In Any Way?
*
Yes
No
What Is the Nature of Your Disability?
*
Deafness or severe hearing impairment
Blindness or severe visual impairment
A condition that substantially limits physical activity such as walking, climbing stairs, lifting or carrying
A learning difficulty
A long-standing psychological or mental health condition
Other (including any long-standing illness such cancer or HIV)
Spouse's Full Name
*
First
Last
Type N/A in the first and last name fields if do not have a spouse
Spouse's Phone
*
Type N/A if you do not have a spouse
Spouses' Email
*
Type N/A if you do not have a spouse
Section 3: Parent/Guardian Information if Less Than 18 (Your Form Will Be Returned if Any Required Field is Not Properly Filled)
Parent/Guardian Full Name
*
First
Last
Parent/Guardian Phone
Parent/Guardian Email
*
Parent/Guardian Current Address
Address Line 1
Address Line 2
City
— Select 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
State
Zip Code
Do You Own or Rent
*
Yes
No
Section 4: Your Participation With Us
I Am Willing to Do One-Time Projects (I.E. Special Mailings, Envelop Stuffing, Etc.)
*
Yes
No
Strategic/Adiministrative Tasks: I Am Interested in … (Check that apply)
*
Administrative Help
Clerical
Clothes pickup and Delivery
Distributing Flyers and Brochures
Data Entry/Computer Assistance
Event Planning
Event Planning Committee
Fundraising
Phone assistance for upcoming events
Home Visits
Program Area Committee
Operational Committee
Other
Serving as a Chaperone for field trips
I Have the Following Interests/Training/Skills, Which Don’t Seem Covered By the Above Positions and I Would Like to Use For Service to WEN:
*
Please Indicate Any Physical Limitations:
*
Section 5: Availability (Please check your preferences)
Checkboxes
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Section 6: Employment Information
I am
*
Employed
Unemployed
What is Your Profession?
*
Section 7: School Information
I Am a Student
*
Yes
No
The Name of My School is?
*
School Address
*
Address Line 1
Address Line 2
City
— Select 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
State
Zip Code
Section 8: Children if membership privileges desired
What Are the Age Range of Children in Your Household?
*
4 years and under
5 to 17
Section 9: Additional Information
Do You Speak/Translate/Read a Language Other Than English?
*
Yes
No
If Yes, List Language(s)
*
Indicate Fluency
*
Fluent
Highly fluent
Not Fluent
Are You Licensed to Operate a Motor Vehicle?
*
Yes
No
If Yes, Are You Willing to Drive Volunteers/Supplies If Needed?
*
Yes
No
Section 10: Criminal Record Information
Do you Have a Criminal record?
*
Yes
No
Have You Been Accused or Convicted Of a Felony?
*
Yes
No
Have You Been Convicted Within the Past 24 Months Of a Misdemeanor that Resulted in Imprisonment?
*
Yes
No
Have You Ever Been Bonded?
*
Yes
No
Has iI Ever Been Revoked
*
Yes
No
If Answered YES To Any of The Questions in Section 10, Please Provide Additional Information:
*
Applicant's Signature If Age (I8+, Complete and Sign)
*
Clear Signature
I do hereby authorize World Ebony Network to investigate all statements contained in this application and on any additional material submitted. All of the information I have completed above is true and correct to the best of my knowledge and I understand that false statements on this application may result in denial of this application, immediate termination or immediate dismissal by World Ebony Network. I hereby agree to provide a 2 weeks notice to World Ebony Network before separating from the organization. World Ebony Network has the right to terminate your position at any time for any reason or for no reason at all. I understand that the above information is supplied voluntarily and may be used and disclosed only for World Ebony Network purposes. As a World Ebony Network volunteer, I understand I will not be paid for my services.
Parent Signature
*
Clear Signature
I do hereby authorize World Ebony Network to investigate all statements contained in this application and on any additional material submitted. All of the information I have completed above is true and correct to the best of my knowledge and I understand that false statements on this application may result in denial of this application, immediate termination or immediate dismissal by World Ebony Network. I hereby agree to provide a 2 weeks notice to World Ebony Network before separating from the organization. World Ebony Network has the right to terminate your position at any time for any reason or for no reason at all. I understand that the above information is supplied voluntarily and may be used and disclosed only for World Ebony Network purposes. As a World Ebony Network volunteer, I understand I will not be paid for my services.
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