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Eligibility Requirements

APPLICATION FOR MEMBERSHIP

STEVENSON-D’ALESSIO POST # 12

AMERICAN LEGION (DEPARTMENT OF NEW JERSEY)

232 UNION AVENUE, SOMERVILLE, N. J. 08876

PHONE 908-685-9550

WEB SITE http://www.post12nj.org

E-MAIL adjutant@post12nj.org

NAME:______________________________________________________________________________
HOME ADDRESS: _____________________________________________________________________
PHONE NUMBER: ______________________________   SOCIAL SECURITY NUMBER: ____________
BRANCH OF SERVICE:  (ARMY, NAVY, MARINES, AIR FORCE, ETC.) ________________________
DATE OF ENTRY INTO SERVICE: ____________________ DATE OF DISCHARGE: _______________
CHARACTER OF DISCHARGE: ____________________ U. .S. SERIAL NUMBER: ________________
DATE OF BIRTH: ________________________  PLACE OF BIRTH: __________________________
OCCUPATION: _______________________________________________________________________
BUSINESS ADDRESS: _________________________________________________________________
NAME OF NEAREST KIN: ______________________________________________________________
ADDRESS  (IF DIFFERENT FROM YOUR OWN) _____________________________________________
HAVE YOU EVER BELONGED TO THE AMERICAN LEGION OR ANY SUBSIDIARY ORGANIZATION 
OF THE AMERICAN LEGION:  __________
IF SO, GIVE NAME AND ADDRESS OF POST OR OTHER ORGANIZATION AND REASON FOR LEAVING:
___________________________________________________________________________________
HAVE YOU EVER BEEN CONVICTED OF A CRIME: ____________________
I HEREBY DECLARE THAT I AM NOT A MEMBER OF, AND DO NOT SUBSCRIBE TO THE PRINCIPLES
OF ANY GROUP OPPOSED TO OUR FORM OF GOVERNMENT.
DATE: ______________________________  SIGNATURE: ____________________________________
PROPOSED BY: ______________________________  POST # 12 MEMBER
APPROVED BY MEMBERSHIP COMMITTEE: ______________________________________________
DUES OF: ____________________ RECEIVED: ______________________________ OFFICER
APPLICATION APPROVED AT A REGULAR POST BUSINESS MEETING ON: ____________________
APPLICANT INDUCTED ON:  ______________________________
 
APPLICANT MUST SUBMIT A COPY OF DD-214 OR PROOF OF ELIGIBILITY WITH APPLICATION
APPLICANT MUST ATTEND POST 12 BUSINESS MEETING ON THE FOURTH FRIDAY OF MONTH
DUES ARE $ 30.00 PER YEAR

 

 

 

 

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MEMBERSHIP ELIGIBILITY DATES

If you are currently on active duty, serving the United States honorably, anywhere in the world, or have served honorably during any of the following eligible war eras, we invite you to become a member of The American Legion.