Apply for a Junior Membership

Junior Memberships

You may submit your application digitally below.

Please download

 Holland Society Junior Application

if you would like to submit it manually or use it as a worksheet.

We would like to suggest that you keep a copy of all of your work.

Application Guideline

Digital Application for Junior Membership

I submit this application for membership for the below stated candidate in the Holland Society of New York by submitting this application. I provide evidence of their eligibility through their family’s direct descent.

Should he/she/they be admitted to Membership in the Holland Society of New York, they well be eligible to vote and participate in full as a Member of the Society upon their eighteenth birthday. No dues will be owed until their eighteenth birthday.

Please enable JavaScript in your browser to complete this form.

- Step 1 of 2

On behalf of this junior candidate, I hereby apply for membership to the Holland Society of New York. *

First

Last

In this application, I present their proof of eligibility based on their direct descent from: *

Your New Netherland residing ancestor

They are related to the following Member or former Member of the Holland Society:

Full name and birthdate

They are related to the member as:

Please state relationship: daughter, son, niece, nephew, etc.

As detailed in this application, I present their proof of eligibility to membership based on their relation to:

Name of the Junior Member: *

First

Last

Email *

Mailing Address - Street

Phone *

Town, State, and Zip

Date and Place of Birth

GENERATION TWO: This applicant is the child of:

Father:

Date and place of birth:

Date and place of death:

Mother's Name:

Date and place of birth:

Date and place of death:

Date and Place of Marriage:

Supporting Documentation

List such documentation as birth, death, marriage certificates, family bibles, church records, or wills, probate or other legal papers.

File Upload

Click or drag files to this area to upload. You can upload up to 6 files.

GENERATION THREE: This applicant is the grandchild of:

Father:

Date and place of birth:

Date and place of death:

Mother's Name:

Date and place of birth:

Date and place of death:

Date and Place of Marriage:

Supporting Documentation

List such documentation as birth, death, marriage certificates, family bibles, church records, or wills, probate or other legal papers.

File Upload (copy)

Click or drag files to this area to upload. You can upload up to 6 files.

Next

Updating preview…

This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Previous

Submit