Provisional Candidate Membership Application

Thank you for your interest in Provisional Membership in Naples Garden Club. A requirement for membership is your attendance at the mandatory Provisional Orientation on April 5, 2022, from 9:30 a.m. to 3:00 p.m. If you are not able to attend, we look forward to your applying next year or in the future when you will be able to make the Provisional Orientation.

Use this form to submit your Application for Provisional Membership. Answer all questions thoroughly. After completing the application, press the SUBMIT button at the bottom of the form. Complete the online form in one sitting; once you have submitted the form, it will no longer be available for editing. When you press SUBMIT, you will be directed to a secure payment page where you may pay your $210 Provisional dues online. If you have difficulty completing this application, please contact support@boldsolutionsonline.com or call 239.947.2000.

Naples Garden Club is a member of the Florida Federation of Garden Clubs and as such we are required to provide FFGC with your name and address. We pay per capita dues to the FFGC based on the number of NGC members and they send you the Florida Gardener magazine quarterly.

Name *

First

Last *

Last

NGC Badge Name

Name as it should appear on badge

Email *

The address to which correspondence should be sent. This will be your login username.

Desired Password *

Enter Password

Confirm Desired Password *

Confirm Password

I have attended a NGC General Membership Meeting prior to completing this application.

Yes

General Membership meeting date:

Local Contact Information

Street Address *

City *

State

Zip Code *

Enter Zip+4 if known (i.e. 34104-3735)

Phone

xxx-xxx-xxxx

Fax

xxx-xxx-xxxx

Cell

xxx-xxx-xxxx

Business Address?

Yes

Business Name

Business Street Address

Business City

Business State

Business Zip

Enter Zip+4 if known (i.e. 34104-3735)

Business Phone

xxx-xxx-xxxx

Business Fax

xxx-xxx-xxxx

Business Cell

xxx-xxx-xxxx

Background

Educational History

Include degrees and dates, most recent first

Career History

Include company/organization, dates, title/responsibilities, most recent first.

Local (Collier/Lee Counties) Civic and Community Organizations

Please explain in more detail: dates, places & events that you participated in. Include name of organization, position and/or responsibilities,, whether current or past and whether or not you served on the board.

Other Civic and Community Organizations

Include name of organization, position and/or responsibilities, whether
current or past and whether or not you served on the board.

Please acknowledge your understanding by checking the box for each of the following statements.

I understand that to become an Active Member I must complete the Provisional Requirements

I understand that most NGC communications are electronic and I am required to be able to use e-mail and the Internet.

If selected, I understand that my participation in the Provisional Program involves a commitment of time and energy.

Upon becoming an Active Member, I agree to use the acquired knowledge and relationships developed in the Provisional Program to support The Club’s mission and to meet the obligations of Active membership.

I understand I will be asked to serve on a committee upon achieving Active membership status.

I understand I am required to attend the MANDATORY Provisional Orientation Meeting and Luncheon on April 5, 2022, from 9:30 a.m. to 3:00 p.m.

Last Payment Made By

Check #

Last 4 Digits

Last 4 digits of credit card number

Date Paid

Notes

Quips & Quotes

Local Contact Information

Alternate Contact Information

Skills and Experience (Check all that apply)

Garden Club Experience (Check all that apply)

Background