Junior Partner Application

Any individual at age of 12 or under may become as a member by means of a single pre-payment of $10,000 invested with the Leadership 100 Fund, whereupon reaching age 21 the individual will have the option of becoming a member by complying with the payment schedule approved by the Board of Trustees wherein the $10,000 pre-payment will count toward the $100,000 commitment. Furthermore, should the individual choose not to become a member of Leadership 100, the $10,000 payment will be treated as a gift to be invested in the Fund.

Online submissions are encouraged. If you prefer to print the application and mail it in you can download here .

Personal Information

Name

First Name

Last Name

Names Day / Middle Name / Saint

Date of Birth

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Personal Email

Phone

(###)

###

####

Parish Affiliation

Parish Name, City, State

Contact Information

How did you learn about Leadership 100

Brochure

The Leader

Website

From a Member

Other

Leadership Commitment

Under what name(s) should this gift be listed

We/I hereby Pledge our/my pre-payment of $10,000 to be paid on

YYYY

We/I understand that the applicant being sponsored has the option of becoming a full partner at age 21 by adopting the payment schedule of Leadership 100 Partners until reaching the full commitment of $100,000:

Acknowledgement

Signature of Applicant

Type Name

Name of Sponsor

Date

YYYY

Junior Partner Application

The Archbishop Iakovos Leadership 100 Fund

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