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AFFILIATE
MEMBERSHIP
APPLICATION



There are three general categories of membership in Kentucky VOAD: Regular Membership, Associate Membership, and Affiliate Membership. The requirements for regular membership in KyVOAD are most easily summarized by the name itself:

 
KENTUCKY ............................................ The organization shall be active state-wide or throughout a significant portion of the Commonwealth of Kentucky.
VOLUNTARY ORGANIZATIONS ........... The organization shall consist of voluntary memberships or constituencies, shall have a not-for-profit structure, and shall have tax-exempt status under section 501(c)(3) of the Internal Revenue Code of the United States.
ACTIVE IN DISASTER ........................... The organization shall have a disaster response program and policy for commitment of resources (i.e. personnel, funds, and/or equipment) to meet the needs of people affected by disaster, without discrimination as to race, creed, gender, or age.


Individuals from KyVOAD member organizations who wish to participate in KyVOAD and who are not the designated representative of the organization, may be granted Affiliate membership.

Dues for organization membership (Regular or Associate) include the designated primary representative of the organization. Any additional individuals from the organization who will actively participate in KyVOAD should apply for Affiliate Membership.

If you have any questions about your organization’s qualifications for membership or the application process, please contact the chair of the Membership Committee or any of the KyVOAD officers.

APPLICATION FOR AFFILIATE MEMBERSHIP

All applications for Affiliate Membership must be authorized by their organization.

Name of Individual:


Mailing Address:


Telephone:   e-mail:

Additional contact information (optional):


Name of Organization:


Mailing Address:


Telephone:   e-mail:

Signature of organization chief executive, official responsible for the disaster program in Kentucky, or designated primary representative:

   Date

Name and title: