Membership

WADV Yahoo! Group Shelter Membership

**YOU MUST BE AT LEAST 18YRS OLD TO JOIN- If you are under 18 please contact us so we can try to help you find the help you need.**

MUST FILL OUT COMPLETELY TO BE CONSIDERED FOR MEMBERSHIP -

All the information in this application is required and will be held in the strictest of confidence by our group leaders. Please rest easy that we will not at any time contact you without your permission. And if we do it will be done discreetly and only for your safety. We will never at anytime sell or give your information to anyone else. Upon completing the application you will be redirected to the Yahoo group site. Please take a moment to sign up there as well. Someone will be in touch with you soon.

WADV MEMBERSHIP

Email Address

Full real Name:

Name to be used in group if different than above:

Home Street Address:

City:

State:

Country if not USA:

phone number: (Please be advised that before we approve you for membership someone will be contacting you. We do this for the safety of the group as well as for you.)

Whose number is this and best time to call:

Birthdate:

About your situation: (Abused? Survivor? Was it physical, emotional? Etc. If out for how long?) The more information you can give the sooner we can get you approved. Just a brief story of what happen, how you are doing, to better enable us to understand what level you have reached in your healing process so we may better help you with any needs you may have.

Tell us how you feel this organization can be of assistance to you and what contributions you would like to make to the organization.

Have you ever been a member of WADV yahoo group before? If so, when and why did you leave?

Blurb introducing yourself to the group members:

Thank you and please allow us a week to get your application processed and approved. You will be receiving a welcome letter upon approval. Please note as well that we ask all members to post at least two times a month to remain active in the group. If this will be a problem please do not send the application in.

Please note that at no time will WADV ask for any other personal information except what is asked on this application.

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