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Get FAMILIAR
Get NEWS
Diaspora Membership
Get IN TOUCH
Donate
Home
Get FAMILIAR
Get NEWS
Diaspora Membership
Get IN TOUCH
Home
Get FAMILIAR
Get NEWS
Diaspora Membership
Get IN TOUCH
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Diaspora Membership
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Diaspora Membership Form
SURNAME
Jamaican Passport No.
First Name
Middle Name
____________________________________________________________________
Zone: (Official use only)
Division: (Offial use only)
____________________________________________________________________
Address:
Date of Birth:
Gender:
Male
Female
Other
Country:
Telephone Contacts: Home:
Mobile:
WhatsApp:
Yes
No
Email:
Occupation:
_____________________________________________________________________
Employment Status & Academic Levels
Please check appropriate boxes:
Employed
Self-Employed
Unemployed
Retired
Student
Secondary
Tertiary
University
Post Graduate
____________________________________________________________________
References from two Party Members
NEC/Region Chair/Commission Chair/Zone Chair/ Member of Parliament/Councillor
(Each person must sign this form which indicates agreement to be used as reference)
____________________________________________________________________
Reference 1:
Name
Position
Phone Number
____________________________________________________________________
Reference 2:
Name
Position
Phone Number
____________________________________________________________________
Applicant: Please indicate if you had/have
Previous Membership
Current Membership
Not Applicable
If yes, please list constituency:
Please indicate a maximum of two - one Commission & one special interest; or two special interests:
Party Commissions
Outreach and Recruitment
Political Education and Training
Communications
International and Diaspora Affairs
Welfare
Finance and Fund Raising
Human Rights
Gender
Heritage Committee
Special Interests
Trainers: Jamaica (Terry level education desirable). Election worker, & election preparedness
Super Canvassers: Jamaica (Field work activity primarily on weekends - must be skilled in person-to-person contact)
Technology Liaisons: to work with divisions and constituencies and campaign teams in Jamaica; and to work within the Diaspora Region
Communication Liaisons - Jamaica and Diaspora
Election Campaigning Field Work - Jamaica
Administrative - Jamaica and Diaspora
Political Education - Diaspora
Membership & Recruitment - Diaspora
Any Other Areas (Please Indicate)
*List Other Areas Here (If applicable)
____________________________________________________________________
Applicant's Name
Date
Choose (1) one of the following options: Type or Draw Signature.
Type Signature Here
Draw Signature
(Sign Here)
Clear Signature
____________________________________________________________________
Please attach Proof of Jamaican Citizenship (JA Passport); and overseas residency
Upload 3 Items Max
Item 1
upload
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Item 2
upload
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Item 3
upload
cloud_upload
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Declaration (Tick the checkbox to confirm)
Declaration
I confirm all information submitted is true and that I am the person stated herein.
____________________________________________________________________
(For Official Use Only)
Rejected: _____________________
Denied: _____________________
Approved: _____________________
Date: _______________________
Submit Form
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