Application for Membership                 

 

The TelecomPioneers invites you to join us in the largest industry related volunteer organization in the world with over 625,000 members in North America. 

If you choose to pay by check or cash, please click here to print out a member application.
Did a Pioneer refer you?  If so, who  
Member Type (check one): Regular (still working):    Life (retired):    Associate (Spouse/Partner)    Affiliate
 PLEASE NOTE:  those areas with an * must be filled in.
*First Name:      Middle Initial:   *Last Name:  
  *Address:              
 *City:     *State:     *Zipcode:  
Home Phone:     Work Address:
             City:                  State:       Zipcode:
  Work Phone: Cell Phone*:  *Last 4 digits of SSN:  
           E-Mail:        E-Mail*: * Optional

 Please choose a Chapter        

 

 If you do not know your chapter, you will be contacted and assigned geographically by your home town or work location.
This is to authorize Verizon Inc. and any Verizon subsidiary or entity by which I may hereafter be employed to make payroll deductions for the payment of TelecomPioneer dues.  Annual dues are $15.00, currently being taken at $1.25 per month.  These funds help offset the cost of certain organizational activities including start-up costs for new community service projects.  Dues are non-refundable.
 

INTERESTS AND SKILLS

 1.  Please indicate the types of programs in which you would be interested.
  Education/Literacy     Homeless    Soup Kitchens/Food Pantry
  Elderly     Hug-A-Bears     Special Events
  Environmental     Mentally/Physically Challenged     911 Simulator
  Dictionary Project     Playground MAP     Officer or Chairperson
  Fundraising     Project Connect      
  Heart Pillows     Smart Bears     Other
               If "Other", please specify below;
         
 
2.  Please check or list below any skills/talents you would like to contribute as a volunteer:

Artist

  

Bi-Lingual

 

Carpentry

Ceramics

   Specify  

Clerical/Secretarial

Clowning

  

Computer

  

Cooking/Baking

Crafts

         Programing  

Disaster Relief

Electrical

        Data Entry  

Fitness/Exercise

Gardening

  

Music

  

Nutrition/Health

Photography

  

Plumbing

  

Project Leadership

Quilting

 

Sewing

  

Signing

Sports

  

Theater

  

 Tutoring

Wallpaper/Painting

  

Writing

          Specify

 

    

Others

      
                Specify      
3. I prefer volunteer activities:

Before work

    Lunch Time  

After Work

Saturday

  

Sunday

  

Weekends
 

You may need to wait several seconds after clicking "Submit" below before you receive confirmation.