African Focus Membership Application

Mailing Address: P.O. Box 11091

Carson, CA 90749

Phone: (310) 676-7300

AFRICAN FOCUS FAMILY MEMBERSHIP

(PLEASE RETURN YOUR MEMBERSHIP APPLICATION THE ANNUAL $25 MEMBERSHIP FEE)

African Focus Membership: are exclusive for candidates who wishes to support and contribute to promote African Focus core programs; intercultural exchange, education and economic empowered of African People.

Members can volunteer their time during African Focus events and contribute to ongoing dialogues. They are not expected to attend meetings except the annual Luncheon that brings past Inductees, Host Families, Honorees, Board members, Executive team and Management together. Members who wish to attend any African Focus organized paid event such as the African Goodwill Awards & Family Induction, African Dance LA Competition etc. will have a designated seating arrangement.

APPLICANT’S INFORMATION

Applicant Name

ADDRESS:

PHONE NUMBER

(###)

###

####

Email Address

QUESTIONNAIRE

1. Have you been to any of the African Focus Event in the past

Yes

2. Have you been Inducted into an African Family

Yes

3. What is your professional background

4. Why do you wish to become a member of African Focus

I understand that African Focus, Inc. reserves the right to deny certification or membership to any person who has been convicted of a crime of violence or a crime against a person. This disclosure statement must be updated every years.

PLEASE NOTE THAT THIS AGREEMENT IS IN HONOR ONLY AND IS NOT INTENDED TO BE A LEGALLY BINDING CONTRACT OF EMPLOYMENT.

EMAIL COMPLETED APPLICATION TO: goodwillawards@gmail.com Or MAIL TO: African Focus Inc., P.O. BOX 1876, HAWTHORNE, CA 90746

IF YOU HAVE ANY QUESTION, PLEASE EMAIL goodwillawards@gmail.com or call Betty Arnold at 310.676.7300

___________________ ________________________ _________ Signature Print Name Date