WFLIC Membership Application .Member Registration First Name * Last Name * Email Address * Desired Password Name as you would like it to appear on your nametag Nickname or Preferred Name Name of Sponsor This is mandatory for new applications. Birth Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Birth Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Have you lived outside of the United States for 10 years or more? Yes No If yes, how long? Country of Birth United States U.S. Continental Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger North Korea Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Please choose US Continental if you were born in the US and have lived outside of US for 10 years or more. Name of Spouse or Partner Leave blank if not applicable. Spouse or Partner's Nationality Leave blank if not applicable. Local or First Address * Local or First City & State * Local or First Zip, Country if not USA * Community/Country Club Landline Cell Number Do you have an alternative address? Yes No Alternate Address, if applicable Street 1 Street2 Street 2 City City State State/Province Zip Zip/Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Country Alternative Phone Number If applicable Time in SW Florida Full-Time Part-Time Hobbies/Interests Include up to 5 separated by commas Other WCI Affiliate Clubs None Anglo-German International Women's Association e.V. Broward International Women's Club FIWAL (Federation of International Women's Associations in London) International Women's Club of Baku International Women's Club of Hamburg e.V. International Women's Club of New England International Women's Club of Philadelphia International Women's Club of Porto Alegre The Women's League (Beirut) VIA Lebanon International Club Welcome to Colorado International Club Welcome to Korea International Club Welcome to London International Club Welcome to Taipei International Club Welcome to Turkish Cyprus Club Welcome to Washington International Club Women's International Border Club Women's International Club Jakarta Hold the Ctrl Key to make multiple selections Languages Spoken (with high proficiency) Afrikaans Akan Albanian Amharic Arabic Armenian Assamese Awadhi Azerbaijani Balochi Basque Belarusian Berber Bengali (Bangla) Bhojpuri Bosnian Bulgarian Burmese Catalan Cebuano Chewa Chhattisgarhi Chittagonian Croatian Czech Danish Deccan Dhundhari Dutch Eastern Min English Estonian Finnish French Fula Gan German Greek Gujarati Haitian Creole Hakka Haryanvi Hausa Hiligaynon/Ilonggo Hindi Hmong Hungarian Icelandic Igbo Ilocano Irish Italian Japanese Javanese Jin Kannada Kazakh Khmer Kinyarwanda Kirundi Kongo Konkani Korean Kurdish Latvian Lingala Lithuanian Luganda Macedonian Madurese Magahi Maithili Malagasy Malay Malayalam Maltese Mandarin Marathi Marwari Moldovan Montenegrin Mossi Nepali Northern Min Norwegian Occitan Odia Oromo Pashto Persian Polish Portuguese Punjabi Quechua Romanian Russian Saraiki Scots Serbian Sesotho Shona Sindhi Sinhalese Slovak Slovene Somali Southern Min Spanish Sundanese Swahili Swedish Sylheti Tagalog Tamil Telugu Thai Turkish Turkmen Ukrainian Urdu Uyghur Uzbek Vietnamese Welsh Wu Xhosa Xiang Yoruba Yue Zhuang Zulu Other (please specify)Other (please specify) Describe your international experience, connections, interests or hobbies that you would like to share. What other organizations have you belonged to and what position have you held; past and present. In which of the following are you interested in participating? Check all that apply. Leadership Opportunities * President - Oversees membership activities, information, and the Club’s finances. New Member Chair - Collects applications and advises the Board of met requirements. Interest Group/Special Events Chair - Plans 3-4 events per season that are open to the membership, and liaises with Interest Group Leaders. Treasurer - Manages accounting, budgeting, and cash transactions on behalf of the Club. Assistant Treasurer - Oversees monthly Luncheon payments and online registrations. Recording Secretary - Keeps official minutes of the Executive Board meetings. The Website and Newsletter Editor (Digital Communications) - Maintains the website, liaises with the Webmaster, and edits and publishes the Club's digital newsletter via mailchimp. Unsure at this time. Please contact me when an opportunity becomes available. Volunteer Opportunities * Corresponding Secretary - Sends handwritten notes to members (i.e., get well or condolences cards). Directory Chair - Keeps track of and updates membership addresses, telephone numbers, and other contact information. Event Photographer - Takes photos at events for the Club's website, newsletters, or other club-related publications. Historian - Archives events for future reference, reviews early Club photos, creates scrapbooks, and recommends/implements digitization for inclusion on the website. Hospitality Chair - Assists at in-season Luncheons. Interest Group Leader - Proposes and leads interest groups that regularly meet. Inspirations Chair - Manages inspirational messages at the Monthly in-season Luncheons. Luncheon Chair - Secures venues for the Monthly in-season Luncheons. Luncheon Registration Chair - Oversees check-in of members at Monthly in-season Luncheons. Member Profile Photo Chair - Takes headshot photos at in-season Luncheons for the online Directory. New Member Tea Chair or Committee Member - Plans the New Member Tea event that occurs in the spring. Summer Luncheon Chair - Secures summer Luncheon venues. Unsure at this time. Please contact me when an opportunity becomes available. Countries Lived In (select 5 or less) Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenian Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent/Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Select up to 5 Countries Visited (select 5 or less) Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent/Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe Select up to 5 Attended Meetings Information You are eligible to complete and submit your Membership Application after attending two of the following Welcome to Florida International Club events: I attended a Summer Luncheon on: Date I attended Luncheon: * I attended November 10 Zoom Meeting: Yes No Date I attended Interest Group or Special Event: * Signature Signature First First Last Last Paragraph Name Name First First Last Last I agree to use on-line registration and the on-line credit card payment option for WFLIC events. * I agree for my likeness to be shared in WFLIC publications. If I do not wish to appear in WFLIC publications, I agree to email membership@wflic.org as such, and to avoid as much as possible being in pictures during WFLIC events. * If you are human, leave this field blank. Submit