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.