Fellowship of the Earth
Membership Application
Revised 3/16/01
For Exclusive use of membership only. This information is for the membership records of Fellowship of the Earth, a Non-profit organization. If you do not wish to be listed in the member's roster, please make sure you make note in the comment area of the application. Contact information will be made available to other members.
By filling out this application you agree that Fellowship of the Earth, it’s members and the Universal Life Church is not held liable for any injuries nor is responsible for other group members actions.
A donation* upon applying for membership is greatly appreciated. Please indicate how much you can contribute at this time $__________.
*Minimum membership donation is $10
Personal Information
________________________________________________________________
Name:
Craft name/Nickname:
Address:
City: Zip:
Phone: Birthdate:
E-mail: Website:
I have read the disclaimer paragraph at the top of the application and understand that
this information is for use only with events,and correspondence in regards to this organization, Fellowship of the Earth. By signing below I hereby state I have read and agree with the above and that the information given is true and correct as I know it to be.
Sign:_________________________________ Date:______________
________________________________________________________________________
Let us get to know you a little,
if you don't mind, please
take this painless survey.
This information is kept confidential.
How did you hear about Fellowship of the Earth?
___ A friend ___ Newspaper ___ Flyer (where?_____________________)
___ Magazine ___ Internet ___ Other
What made you interested in joining?
___ I want to promote religious tolerance.
___ I want to learn more about Earth Religions.
___ I want to find others of like spirit to connect with.
___ Other:
What Earth centered path are you drawn to or practice?
___ Wicca ___ Celtic ____ Druid ___ Faery ___ Shaman ___ Strega ____ Family Trad.
___ Native American ___ Pagan _____ Asatru ____ Brit. Trad. ___ Other:
What are you looking to gain from such a group?
What do you think you can contribute to the group?
What level of activity can you commit to this organization?
___ Full Participation (I can attend monthly meetings and fully participate in and events.
___ Regular Participation (I can attend monthly meetings with limited participation.)
___ Limited Participation (I can attend some meetings and events.)
___ No Participation (I can not attend any meetings, but wish to stay informed of group activities.)
___ Supporter (I would like to make a contribution, but can not make a participation commitment.)
___ Other:
Is there anything else you would like to tell us?
Comments: