UNITY Affiliate Membership Form – UNITY, Inc.

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UNITY Affiliate Membership Form

Become part of UNITY’s National Network to promote personal growth, citizenship, and leadership among American Indian and Alaska Native Youth

How to Apply or Renew your Youth Council and Individual Membership:

1. Complete the Update/Application Form

2. Pay Annual Membership Dues: $100 for Youth Councils/Groups and $50.00 for individuals.

3. IF YOU ARE RENEWING: Submit Yearly Report on Youth Council or Individuals activities (attach photos: Stories are needed for upcoming UNITY publications)

4. IF YOU ARE A NEW MEMBER: Submit Constitution and By-Laws and Resolution Letter for a sponsor.

Individual membership requirements

American Indian, Alaska Native or Native Hawaiian
14-24 years of age

Youth Council membership requirements

Group of American Indian, Alaska Native or Native Hawaiian
14-24 years of age
Sponsoring Agent (Tribe or Organization).
Constitution and By-Laws

Call UNITY Headquarters if you have any questions: 480-718-9793 or contact Lynnann Yazzie [email protected]

Donation Amount:

$ 50

Upload Youth Council / Individual Written Report

Select File(s)

Upload Youth Council / Individual Photo

Select File(s)

First Name *

Last Name *

Address *

City *

State *

Zip Code *

E-mail *

Contact E-mail *

Contact Phone *

FOR INDIVIDUAL MEMBERSHIP:

Tribal Affiliation

Gender

Age

Organization/Institution Attending

Current Academic Level

FOR YOUTH COUNCIL MEMBERSHIP:

Membership Status New Membership Renewal Membership

Youth Council Name

Date of Initial UNITY Affiliation (provide mm/yyyy)

Youth Council Type High School College Tribal/Alaska Native Village Urban Other (Other Types may include Faith Based, County, Business, Community Organizations, etc.)

If other, please specify:

Sponsoring Organization Name:

Sponsoring Organization Address:

Sponsoring Organization City:

Sponsoring Organization State:

Sponsoring Organization Zip Code

Sponsoring Organization Phone Number:

Advisor #1 First Name:

Advisor #1 Last Name:

Advisor #1 Email:

Advisor #1 Phone: *

Advisor #1 UNITY Alumni? Yes No

Advisor #2 First Name:

Advisor #2 Last Name:

Advisor #2 Email:

Advisor #2 Phone:

Advisor #2 UNITY Alumni? Yes No

Male Rep First Name:

Male Rep Last Name:

Male Rep Email:

Male Rep Contact Phone:

Male Rep Tribal Affiliation:

Female Rep First Name:

Female Rep Last Name:

Female Rep Contact Email:

Female Rep Contact Phone:

Female Rep Tribal Affiliation:

Youth Council Constitution and Bylaws

Select File(s)

Upload Youth Council Constitution / By-laws

Select File(s)

Select Payment Method

Credit Card
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Subscribe to our Newsletter

Donation Total: $50

Contact Info

Physical Address:
953 E. Juanita Ave., Ste C
Mesa, AZ 85204

Office Telephone:
(480) 718-9793

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