Council of Adoptable Children of Texas

Category of New Membership (Circle One):                       Executive                                  Basic

 

Name: ____________________________ First____________ ___________________________ Middle Initial Last

 

Gender: ____ Male ____ Female


Permanent/Mailing Address: ______________________________________________________________

Home Phone Number: (______) ______-_________ Mobile Phone Number (______) ______-__________ Email Address: ___________________________________

Please indicate how you learned about COAC: Social Media: _______________________________

Name of Referral: ______________________________

Are you interested in becoming actively involved? (Please circle one below)

  •   Yes, I would like to become actively involved, and have time to devote.

  •   Yes, I would like to become actively involved, but have limited time to devote.

  •  

    Membership: Executive – A board position that holds a title in which specific duties and/or task are accepted. Membership: Basic – A member who doesn’t hold a specific title but wants to be an active part of the organization.

    If you would like to be actively involved and have time to devote would you like to hold an Executive / Basic position? (Please circle one) Yes No
    If you answered yes to Executive, what position are you interested in? ______________________________

___ Assistant to______________________ ___ Former Foster Care Representative

___ Grant Writer ___ Legal Representative ___ Media Specialist

___ Membership Coordinator ___ New Interest __________________ ___ Volunteer Coordinator

(Please keep in mind some positions are already filled and are voted on every 2 years however some positions could use an assistant. Always check our website for any new areas, as our membership grows.)

 

To become a member, please fill out this application completely and submit via mail or email it with a brief description of yourself and/ or list of any possible areas of interest. All positions are strictly volunteer, there is no compensation involved.

 

COAC of Texas c/o: Membership LaTreasa Garner PO Box 60045 Fort Worth, TX 76115 Lgarner73@yahoo.com

Applicant Signature: ____________________________

Date: ____/____/_____

Mission Statement: COAC of Texas exists to promote adoption of children from the Texas foster care system and to support and encourage their families once the adoption has been finalized.

Official use only: Membership #:______ Membership: Executive or Basic By: __________________

Membership Application

Council of Adoptable Children of Texas

Application Additional Information

Name: ____________________________ ___________________________ First Last

Brief Description of yourself:

Official use only: Membership #:______ Membership: Executive or Basic By: __________________

Educational background and/or Other Affiliations:

 

_____________________________________________________________________________________

List of

1. 2. 3. 4. 5.

any possible areas of interest:

_______________________________________ _______________________________________ _______________________________________ _______________________________________ _______________________________________

COAC of Texas c/o: Membership LaTreasa Garner PO Box 60045 Fort Worth, TX 76115 Lgarner73@yahoo.com

Applicant Signature: ____________________________

Date: ____/____/_____

 

Mission Statement: COAC of Texas exists to promote adoption of children from the Texas foster care system and to support and encourage their families once the adoption has been finalized.

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