American Legion Auxiliary MEMBERSHIP APPLICATION
American Legion Auxiliary
MEMBERSHIP APPLICATION
APPLICANT INFORMATION
Name
(First)
(M.I.)
(Last)
State
ZIP
Address
City
Home Phone
/
Cell Phone
/
Date of Birth (Required)
o Birth - 17
Have you been a member previously?
o Yes
Email Address
o 18 and over
o No
Unit #
Location
(If yes, fill in below.)
Previous Unit City/State
ALA ID # (if known)
/ /
Date
Signature of Applicant (or legal guardian if under 18)
ELIGIBILITY INFORMATION
Eligible Through¡ªName of Veteran (Female Veterans: List Your Own Name)
If Living:
American Legion Member ID #
Post #
City
State
o Deceased¡ªIf veteran is deceased, contact ALA unit about the necessary military records.
For Veteran¡¯s DD214 Discharge Papers: veterans/military-service-records
Veteran Served:
o WWI (4/6/1917-11/11/1918)
o Anytime After 12/7/1941 (check all that apply):
o Global War on Terror
o Panama
o Gulf War
o Lebanon/Grenada
Applicant¡¯s Relationship to the Veteran:
o Male Spouse
o Daughter
o Female Spouse
o Granddaughter
o Mother
o Vietnam
o Korea
o WWII
o Other Conflicts
o Grandmother
o Sister
o Self
To Be Completed By The American Legion Post Adjutant/Officer
I certify that the above named individual served at least one day of active duty during the dates marked above and was honorably discharged
or is still serving honorably.
/
Post Adjutant/Officer Membership Verification
Date
/
HELP US GET YOU CONNECTED!
I am interested in learning more about:
o Volunteering for Veterans, Military, and Their Families
o Youth Activities, Including ALA Girls State, Junior Member Programs, and Scholarships
o Member Discounts and Services
o Other
Name
Phone
Email
Name
Phone
Email
Name
Phone
Email
Recruiter¡¯s Name
Unit/Post #
City
State
Submit this application to the ALA unit you wish to join. If unit is unknown, contact National Headquarters at (317) 569-4500 for assistance.
Annual dues must accompany completed application. Ask local contact for amount due. Membership pending approval of application.
09/2019
Please contact the following individual about volunteering or joining the American Legion Auxiliary:
................
................
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