New Membership or Renewal Application

If you have questions about this application, please contact Janet Shaffer of Northland Neighborhoods, Inc. at (816) 454-2000. If you have problems with this online application, .

General Information

All Fields in this Section are Required

 
Membership Application for Year:
   
Neighborhood Name:
Website Address:
Association Boundaries:
   
Number of Houses in Neighborhood:
     
Located in County:  
City Council District:  
KCMO Police Division:  
 
Association Meeting Information:
Date(s): Time: Location:
 
Election of Officers and Board:
Date(s): Time: Location:
 
Officers

NOTE: You must provide AT LEAST a name for each officer. Please provide as much information as you can. If you have a Secretary/Treasurer position rather than separate Secretary and Treasurer positions, please use the same name and contact information for both the Secretary and the Treasurer fields.

President
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Vice President
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Secretary
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
Treasurer
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
Board of Directors

NOTE: Please provide as much information as you can for each of your Board Members. If you have more than 10 members on your Board, please contact Janet Shaffer at (816) 454-2000.

Director #1
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #2
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #3
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
Director #4
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #5
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #6
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
Director #7
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #8
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
 
Director #9
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:    
Director #10
 
Name: Address:
City: State:
Zip Code: Email:
Home Phone: Work Phone:
Cell Phone:  
Association Newsletter
Does your association produce a newsletter?

Since you have indicated that your Association does publish a newsletter, please fill in the following fields as completely as possible. This will better enable us to assist you with your newsletter...
How frequently do you publish your newsletter:
Editor's Name: Email Address:
Address: City, State, Zip:
Phone: Alt. Phone:
Submit Your Application
Please review all information that you have entered to make sure it is complete and accurate. Remember that all fields in the "General Information" and "Officers" section of this applicaton are required. Also make sure that you have listed the names and full contact information for all members of your Board of Directors. Finally, in the box below, designate an individual with the authority to vote on behalf of your neighborhood association at the NNI annual meeting, then submit your application.
 
If you have questions about this application, please contact Janet Shaffer of Northland Neighborhoods, Inc. at (816) 454-2000.
 
If you have problems with this online application, .
 
Designate a person (other than the President)
authorized to vote at the NNI Annual Meeting:
 

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