New Member Application Current Member Updating Information

Your Name First/Last (required)

Residence Address (required)

City (required)

State (required)

Zip Code (required)

Phone (Cell or Home) (required)

Your Email (required)

Birth Date (required)

Birth Place (City & Country) (required)

Armenian School(s) Attended

Highest Grade Completed

Degree Received

Year Graduated

Occupation (required)

Employer (required)

A. In which capacity would you like to be involved in the O.I.A.?(Check one or more boxes)
 Ladies Auxiliary/Social Committee Cultural Committee Esayan Alumni Getronagan Alumni Mkhitarian Alumni Kids Club Young Armenians Network (Y.A.N.) Youth Group (Y.G.I.A.) Sports Committee

Other Capacity (For example: Financial support, Fundraising activities)

B. Are you an Armenian emigrated from Turkey or the offspring of such?
 YES NO

Please provide the name of the city of birth for your parents/grandparents:

C. Have you ever been convicted of a felony or other such crimes?
 YES NO

D. Would you prefer all communication, including dues statements, to be sent to you via e-mail?
 YES NO

E. Name of current member who recommends your admission to membership in the OIA.

Recommended By: (required)

Phone Number of member (required)

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----PARENT OR LEGAL GUARDIAN (ONLY FILL IN BELLOW IF THE APPLICANT IS UNDER THE AGE OF 18)----

Relationship (Check one box)
 Father Mother Legal Guardian

Your Name First/Last

Address

City

State

Zip Code

Phone (Cell or Home)

Your Email

Birth Date

Birth Place (City & Country)

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