Chums _ Majestic Monarchs_ Applications

Page 1


Office of the National Vice President

February 22, 2022 Chum Barbara Neville National President Chums Incorporated Greetings Madame President, I’m elated to inform you that the Majestic Monarchs are ready to join Chumdom! Attached is a letter from Chum Sharon Duncan, president of the Washington, DC Chapter, informing of the Monarchs' readiness to join Chums, Incorporated. I concur with Chum Sharon. These ladies are eager and ready to bring their talents to Chums. I have enjoyed working with them. They have shown their dedication, commitment, and energy to move forward. They are as eager as we are to move towards becoming a new Chums Chapter. The Majestic Monarchs have requested a virtual chartering on April 30, 2022 at 3 p.m. (EST). They are requesting their chapter name be the Stafford County (VA) Chapter of Chums and to be included in the Mid Atlantic Region. They have also requested to have a chartering fundraiser. The Washington, DC Chapter has worked very closely with them to ensure they meet the obligations of a chapter. I and members of the National Membership Committee will provide the new chapter orientation on February 28, 2022. I have also agreed to conduct a separate financial workshop for them. The Majestic Monarchs submitted their roster, officers, and the member applications on 12-152021. However, I can resend them if necessary. I have provided the Monarchs the names and information for the Executive Committee, the Board of Directors, and Standing Committees Chairs, and our governing documents. I am requesting a ZOOM meeting of the Executive Committee and ultimately with the Board of Directors to seek approval of the Majestic Monarchs becoming a chartered chapter of Chums, Incorporated. Please let me know what I need to do next. Chummily, Marsha Ingersoll National Vice President Chums, Incorporated


February 16, 2022 Chum Marsh Ingersoll National Vice President Chums, Inc. Hello Chum Marsha, The Majestic Monarchs Interest Group has done a good deal of planning and work in the last few months. They have successfully completed four (4) service projects, constructed and implemented chapter bylaws, created a budget, and selected officers. A Chums orientation session with you is scheduled for later this month. Plans for their new chapter chartering and installation ceremony are maturing. Their chartering committee has developed a vision and theme for the chartering and installation ceremony and a draft program has been developed. I support the Majestic Monarchs’ proposal for a virtual new chapter chartering and installation ceremony on April 30, 2022 at 3pm est. They desire to become a Chums, Incorporated Chapter in Stafford County, Virginia. Currently they are anticipating approximately 16-18 members. I have enjoyed working with you to assist the Majestic Monarchs in the planning for their new chapter chartering and installation activities. Please let me know if there is additional information needed from me that would assist National in approving their proposed ceremony date. The Majestic Monarchs are a service oriented and spirited group of ladies who will complement the ideals and objectives of our organization. I look forward to them becoming a neighboring Chums Chapter.

Sisters in Service, Chum Sharon B. Duncan President, Washington, DC Chapter of Chums, Inc. "Listen to The Children...Enrich Their Lives "


Chums, Incorporated MEMBERSHIP APPLICATION

Linda Abbott 14 St Williams Way Street Address: ________________________________________________________________ Stafford VA 22556 City: ________________________ State: ______________ Zip Code: ___________________

Name: ________________________________________________________________________

540

67-5913

Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________

729 9887 linabb03@gmail.com Email Address: ________________________________________________________________ x 60 and over____ Circle Age Range: 20-29____ 30-30____ 40-49_____ 50-59____ 03 09 Birth date: Month: ______________________ Day:___________________________________ x Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ 12-24-1982 Anniversary Date: ______________________________________________________________ Budget Analyst OCCUPATION/PROFESSION: __________________________________________________ 540

Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________

EDUCATION::

Kellam HS/San Antonio

High School/College: ____________________________________ Degree_________________ Graduate School: _______________________________________ Degree ________________ Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Top Ladies of Distinction, Inc Stafford County ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Reading ____________________________________________________________________________________ Crafting ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Clyde Abbott Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Health Administrator ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Willingness to help others ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION

Kelly Andrews

Name: ________________________________________________________________________ Street Address: ________________________________________________________________ 3 Saint Roberts Drive

VA

22556

City: ________________________ State: ______________ Zip Code: ___________________ Stafford Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________

540446

4999 Fax Number (_____) ______ - __________________ Cell Phone: (_____) _______ - ________ andrewskelly42@yahoo.com Email Address: ________________________________________________________________ Circle Age Range: 20-29____

30-30____

40-49_____

X 50-59____

60 and over____

January 10 Birth date: Month: ______________________ Day:___________________________________ X Single: ______ Divorced: ______ Widowed: ______ Marital Status: Married: ______ 06062022 Anniversary Date: ______________________________________________________________ Professional Chauffeur OCCUPATION/PROFESSION: __________________________________________________ EDUCATION::

T C Williams High School Degree_________________ High School/College: ____________________________________ Graduate School: _______________________________________ Degree ________________

Diploma Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS:

N/A

____________________________________________________________________________________

Revised: 4/2013

Chums, Incorporated 501 (c) (3)


HOBBIES:

Reading Movies Live performances

____________________________________________________________________________________ FAMILY:

Eddie Spouse/Partner/Significant Other: ___________________________________________________ Occupation/Profession:

N/A

____________________________________________________________________________________ Strengths Applicant will bring to the Chums:

Not too sure. Never joined an organization before. I hope this Experience will teach me something

____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Revised: 4/2013

Chums, Incorporated 501 (c) (3)


Chums, Incorporated MEMBERSHIP APPLICATION Mildred Arce

Name: ________________________________________________________________________ 36 Hayes Street

Street Address: ________________________________________________________________ Stafford

VA

22556

City: ________________________ State: ______________ Zip Code: ___________________ Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 540

446

1991

Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________ Mike_mildred@yahoo.com

Email Address: ________________________________________________________________ Circle Age Range:

20-29____

30-30____

X

40-49_____

04

50-59____

60 and over____

19

Birth date: Month: ______________________ Day:___________________________________ X

Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ 01/18

Anniversary Date: ______________________________________________________________ Stay at home mom

OCCUPATION/PROFESSION: __________________________________________________ EDUCATION:: High School/College: ____________________________________ Degree_________________ Interamerican University

Bussiness

Graduate School: _______________________________________ Degree ________________ Administratio an Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS:

____________________________________________________________________________________


HOBBIES: Reading, cooking. Watching my kids play softball, baseball, and dance.

____________________________________________________________________________________ FAMILY: Michael Arce Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Sales. Territory Manager.

____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Compassion, kindness and willing to help others.

____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________


Chums, Incorporated MEMBERSHIP APPLICATION

Chantel Brooks Name: ________________________________________________________________________

108 Sanctuary Lane Street Address: ________________________________________________________________ Stafford VA 22554 City: ________________________ State: ______________ Zip Code: ___________________ Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________

678 - ________ 3611 Fax Number (_____) ______ - __________________ Cell Phone: (_____) _______ 240

chantel_brooks@yahoo.com Email Address: ________________________________________________________________ Circle Age Range: 20-29____

x 30-39____

40-49_____

50-59____

60 and over____

12 08 Birth date: Month: ______________________ Day:___________________________________

x Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ Anniversary Date: ______________________________________________________________ OCCUPATION/PROFESSION: __________________________________________________ Paralegal EDUCATION:: High School/College: ____________________________________ Degree_________________

University of Phoenix

BSIT

Graduate School: _______________________________________ Degree ________________

MBA Awards/Achievements: __________________________________________________________ University of Phoenix (currently)

______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: ____________________________________________________________________________________ ____________________________________________________________________________________ NAACP, WIN (Women in the NAACP), Black Girl Social Club, Majestic Monarchs of Chums, Inc. ____________________________________________________________________________________ ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Traveling, reading, serving the community, spending time with family, cooking, bartending and just embarking on new adventures. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: N/A Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Serving the community and helping others is my passion. ____________________________________________________________________________________ Volunteering within the community has taught me new skills while improve your existing ones as it pertains to public speaking. ____________________________________________________________________________________ It has enhanced my teamwork skills as well as provided enhanced my leadership skills. There have been projects that I took lead on and guided others. ____________________________________________________________________________________ I take the initiative to start and complete all assignments. ________________________________________ I bring a creative and mission focused approach to this organization. I am flexible and versatile -- which are great traits to have especially when we ____________________________________________________________________________________ are serving the community. ____________________________________________________________________________________ For my Chums sisters, I bring honesty, transparency, integrity and dedication to Chums, Inc. and the sisterhood. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION Name: KENYA CARRINGTON Street Address: 108 SANCTUARY LN City: __STAFFORD State: VA Zip Code: 22554 Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ Cell Phone: (443) 449 - 0047 Fax Number (_____) ______ - __________________ Email Address: kpcarrington@gmail.com Circle Age Range:

20-29____

30-39X

40-49_____

50-59____

60 and over____

Birth date: Month: FEBRUARY Day: 23 Marital Status: Married: ______ Single: X Divorced: ______ Widowed: ______ Anniversary Date: ______________________________________________________________ OCCUPATION/PROFESSION: ENGINEER /NUCLEAR PROFESSIONAL EDUCATION:: High School/College: WILBERFORCE UNIVERSITY Degree ELECTRICAL ENGINEERING Graduate School: _______________________________________ Degree ________________ Awards/Achievements: NASA OHIO SPACE GRANT CONSORTIUM SCHOLAR; NATIONAL ASSOCIATION OF PROFESSIONAL WOMEN -WOMEN OF YEAR AWARD; MICKEY LELAND FELLOW; MISS WILBERFORCE UNIVERSITY 2010; STARS RESEARCH SCHOLARSHIP RECIPIENT ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: ____________________________________________________________________________________ NATIONAL SOCIETY OF BLACK ENGINEERS (NSBE) ALPHA KAPPA ALPHA SORORITY, INC.(AKA) NATIONAL ASSOCIATION FOR ADVANCEMENT OF COLORED PEOPLE (NAACP) Chums, Incorporated 501 (c) (3) Revised: 4/2013

HOBBIES:


Volunteer work at local church Playing soccer Dancing Mentoring youth ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Spouse/Partner/Significant Other: ___________________________________________________ Occupation/Profession: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: As a young women professional, I strive to impact positive change in myself, others, and our community. Some ways I have impacted positive change is by creating a science, technology, engineering and math program at my local church where I and two others mentored a group of 5 to 10 elementary and middle school students, volunteering as a first lego league mentor, technical robotics judge, and referee; serving as the vice president of the Quad Cities Professional chapter of NSBE where I served as the chair person of committees, led a walk for education campaign, coordinated and hosted the chapter’s first annual award and scholarship banquet and devised and led a group of 10 to 15 members in the absence of the president. In addition, as a first lego league mentor I was inspired to establish a stem program at a local church serving in underprivileged communities. I have also mentored teen girls at my local church, coordinated a multicultural program, and volunteered at the church s Halloween/hallelujah night providing a safe haven for young kids and adults. My passion and drive is what has compels me to want to make a difference and positively impact the community. In addition, serving in these capacities has equipped me with the leadership, mentoring, and professional skills to help Chums accomplish it’s mission. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3) Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION

Loreia Johnson-Flemister 34 Hayes Street Street Address: ________________________________________________________________ Stafford VA 22556 City: ________________________ State: ______________ Zip Code: ___________________ 540 659 0288 703 278 1189 Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 202 714 1109 Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________ Loreia@netzero.com Email Address: ________________________________________________________________ X 60 and over____ Circle Age Range: 20-29____ 30-30____ 40-49_____ 50-59____ August 17 Birth date: Month: ______________________ Day:___________________________________ X Widowed: ______ Marital Status: Married: ______ Single: ______ Divorced: ______ Name: ________________________________________________________________________

Anniversary Date: ______________________________________________________________

Budget Analyst

OCCUPATION/PROFESSION: __________________________________________________ EDUCATION::

TC Williams/Radford Univ. Degree_________________ Diploma/BS High School/College: ____________________________________ Strayer Univ/Northcentral Univ

MBA/Post Masters

Graduate School: _______________________________________ Degree ________________

Honor Graduate

Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Delta Sigma Theta Sorority, Inc (Diamond Life Member) ____________________________________________________________________________________ Top Ladies of Distinction, Inc. (TLOD) ____________________________________________________________________________________ National Council for Negro Women (NCNW - Legacy Life Member) ____________________________________________________________________________________ National Association for the Advancement of Colored People (NAACP - Silver Life Member) ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Crafting with Silhouette and Cricut Machines ____________________________________________________________________________________ Traveling and exploring new destinations on my bucket list ____________________________________________________________________________________ Listening to music ____________________________________________________________________________________ Spending time with my family and friends ____________________________________________________________________________________ Event planning for small groups ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Gerard C. Sims (S.O.) Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Budget Analyst for the Intelligence Community ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: I enjoy hands-on community service projects. It brings me joy to see the direct impact on the community from projects ____________________________________________________________________________________ I participate in with other organizations. ____________________________________________________________________________________ I have a transformative leadership style that dovetails to the needs of this type of group where the group can celebrate each ____________________________________________________________________________________ member's accomplishments and successfully complete projects the group wants to do. ____________________________________________________________________________________ I learned my flexible leadership style while I served in the Marine Corps and the skills can be easily introduced in any environment. ____________________________________________________________________________________ I am committed and excited about chartering a chapter of CHUMS, Inc. in Stafford, VA. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION

Desiree Johnson-Flemister 34 Hayes Street Street Address: ________________________________________________________________ Stafford VA 22556 City: ________________________ State: ______________ Zip Code: ___________________ 540 659 0288 202 718 5311 Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 202 718 5311 703 491 5265 Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________ Djflemister03@gmail.com Email Address: ________________________________________________________________ X 30-30____ 40-49_____ 50-59____ 60 and over____ Circle Age Range: 20-29____ October 14 Birth date: Month: ______________________ Day:___________________________________ X Divorced: ______ Widowed: ______ Marital Status: Married: ______ Single: ______ Name: ________________________________________________________________________

Anniversary Date: ______________________________________________________________

Administrative clerk/auto dealership OCCUPATION/PROFESSION: __________________________________________________ EDUCATION:: Mountain View High School/Radford university

Bachelor of science

High School/College: ____________________________________ Degree_________________ Graduate School: _______________________________________ Degree ________________

Honor roll. Presidential acheivement award. Dean's list.

Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Top Ladies of Distinction. Stafford county chapter. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Interior Decorating. Childrens activities. Servicing church events. Drawing. Writing. Poetry. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Partner (non-married) Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Leasing agent. Equity Residential properties. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Diplomatic, God-fearing and kind-hearted single mother that loves to take care of the needs of others. ____________________________________________________________________________________ Able to empathize with others patiently and encourage them. ____________________________________________________________________________________ I love to learn and work well with others, can adapt to any situation and possess strong leadership skills. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION Angela K. Lowe

Name: ________________________________________________________________________ 27 Bells Ridge Drive

Street Address: ________________________________________________________________ Stafford

VA

22554

City: ________________________ State: ______________ Zip Code: ___________________ 540

220

4996

571

256

2935

Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 540

220

4996

Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________ Dskelolo@aol.com

Email Address: ________________________________________________________________ Circle Age Range:

20-29____

30-30____

December

40-49_____

50-59___X_

60 and over____

28

Birth date: Month: ______________________ Day:___________________________________ X

Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ 15 Jun

Anniversary Date: ______________________________________________________________ Paralegal/Attorney Program Specialist

OCCUPATION/PROFESSION: __________________________________________________ EDUCATION:: Strayer University

Bachelor of Science Crim

High School/College: ____________________________________ Degree_________________ Just University of Phoenix

Master of Science

Graduate School: _______________________________________ Degree ________________ Admin Justice & Security Magna Cum Laude, National Society of Collegiate Scholars

Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Kappa Epsilon Psi Military Sorority, Inc., Top Ladies of Distinction – Stafford County, NCNW – Fredericksburg, Senior Senior Professional Professional Women Association

____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Biking, Running, Reading, and Netflix

____________________________________________________________________________________ FAMILY: Larry Lowe Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Truck Driver

____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Team player, Hard worker, Dedication, and Dependable.

____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013




Chums, Incorporated MEMBERSHIP APPLICATION

Cynthia Muhammad Name: ________________________________________________________________________

9711 Rockwell Road Street Address: ________________________________________________________________ Fredericksburg State: ______________ VA 22407 City: ________________________ Zip Code: ___________________ 310 - ________ 7054 Work: (_____) ______ - _____________________ Home Phone: (_____) _______ 540

645 - ________ 0502 Fax Number (_____) ______ - __________________ Cell Phone: (_____) _______ 540

cynt.kilby@gmail.com Email Address: ________________________________________________________________ Circle Age Range:

20-29____

30-30____

40-49_____

X 50-59____

60 and over____

June 4 Birth date: Month: ______________________ Day:___________________________________

X Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______

Sep 20 Anniversary Date: ______________________________________________________________ Human Resources OCCUPATION/PROFESSION: __________________________________________________ EDUCATION::

American InterContiniental U Degree_________________ MHRM High School/College: ____________________________________ Graduate School: _______________________________________ Degree ________________

D, E, & T Certification, SHRM - CP Awards/Achievements: __________________________________________________________ Supervisory Management Designation ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Toastmasters, Fredericksburg Society of Human Resources Management, VABBD ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Avid Reader, Love giving back to the community, volunteering, donating time and resources to numerous causes, baking and event planning. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Sherman Muhammad Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Mechanic ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: I am a very giving person that love to see our community thrive and grow. Always on the go to give back in any manner. A firm believer in ____________________________________________________________________________________ leaving our community better than we found it. As a grandmother, I want to ensure my legacy is shared and my children and grand____________________________________________________________________________________ children will have those same beliefs and values. ____________________________________________________________________________________ ____________________________________________________________________________________ I am an excellent leader, team player and innovative thinker that is always looking for way to improve our community. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Chums, Incorporated MEMBERSHIP APPLICATION Ann L. Newton Name: ________________________________________________________________________ 108 Sanctuary Lane Street Address: ________________________________________________________________ Stafford 22554 VA City: ________________________ State: ______________ Zip Code: ___________________ Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 386 9587 Fax Number (_____) ______ - __________________ Cell Phone: (_____) - ________ 571 _______ Email Address: ________________________________________________________________ ann.newton123@hotmail.com Circle Age Range:

20-29____

30-39____

40-49_____

50-59____ x

60 and over____

5 February Birth date: Month: ______________________ Day:___________________________________ Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ x Anniversary Date: ______________________________________________________________ Government employee OCCUPATION/PROFESSION: __________________________________________________ EDUCATION:: High School/College: ____________________________________ Degree_________________ Bachelor of Art National University Graduate School: _______________________________________ Degree ________________ Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Chums, Incorporated 501 (c) (3) Revised: 4/2013

HOBBIES: reading and visiting museums


____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: n/a Spouse/Partner/Significant Other: ___________________________________________________ Occupation/Profession: ____________________________________________________________________________________ I serve as a civil servant with the Dept of Defense ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: ____________________________________________________________________________________ Throughout my life and career, I have gained the knowledge and wisdom to collaborate and coordinate a ____________________________________________________________________________________ plethora matters. These matters have equipped me with the skillset and ability to interact with other and ____________________________________________________________________________________ communicate effectively. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________


Chums, Incorporated MEMBERSHIP APPLICATION Shorana L. Prather

Name: ________________________________________________________________________ 5123 Lake Terrapin Drive

Street Address: ________________________________________________________________ Woodbridge

Virginia

22193

City: ________________________ State: ______________ Zip Code: ___________________ 703

730

6904

Home Phone: (_____) _______ - ________ Work: (_____) ______ - _____________________ 678

480

9763

Cell Phone: (_____) _______ - ________ Fax Number (_____) ______ - __________________ prathersL@yahoo.com

Email Address: ________________________________________________________________ Circle Age Range:

20-29____

30-30____

40-49_____

February

X

50-59____

60 and over____

24

Birth date: Month: ______________________ Day:___________________________________ X

Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ 27 May

Anniversary Date: ______________________________________________________________ Retired Military. Administrator

OCCUPATION/PROFESSION: __________________________________________________ EDUCATION: Park University

Bachelor

High School/College: ____________________________________ Degree_________________ Columbia Southern University

Masters

Graduate School: _______________________________________ Degree ________________ Assisted in ensuring Stafford County Top Ladies of Distinction, Inc receive

Awards/Achievements: __________________________________________________________ The 5 Star Chapter award in their first years of chartering.

______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: National Council of Negro Women Top Ladies of Distinction, Inc

____________________________________________________________________________________


HOBBIES: Spending time with family and friends Traveling Reading Playing tennis

____________________________________________________________________________________ FAMILY: Earnest Prather Spouse/Partner/Significant Other: ___________________________________________________

Occupation/Profession: Retired Military currently working for Manpower Management Performance Records Branch, Manpower and Reserve Affairs

____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Chums Inc. is an organization known for promoting civic, cultural, educational and social improvement. I will be an asset to this organization because I served my country in the United States Marine Corp for nearly thirty years. The knowledge gained throughout my service in the Marine Corp has prepared me for this next venture in my life. I possess the type of leadership skills that innately enhances the qualities of others to become effective leaders as well. To further explain, I communicate well with others in the area of process planning. In this organization, planning and communication skills are important as we are working with the general public. Recognizing how to set goals, implement the planning process and re-evaluate in order to learn from our challenges is of utmost importance. Creating a high level of camaraderie within the organization will promote the leadership skills of others, especially in the area of strategic planning. I am convinced that I can aid in facilitating this process.

____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________


Chums, Incorporated MEMBERSHIP APPLICATION

Metria Singleton Name: ________________________________________________________________________

PO Box 1466 Street Address: ________________________________________________________________ Stafford Virginia 22554 City: ________________________ State: ______________ Zip Code: ___________________ 324 - _____________________ 720 - ________ 1178 Work: (_____) ______ 3000 Home Phone: (_____) _______ 540

202

244 - ________ 1944 Fax Number (_____) ______ - __________________ Cell Phone: (_____) _______ 703

tsingle720@gmail.com Email Address: ________________________________________________________________ Circle Age Range:

20-29____

30-30____

40-49_____

X 50-59____

60 and over____

April 14 Birth date: Month: ______________________ Day:___________________________________

x Marital Status: Married: ______ Single: ______ Divorced: ______ Widowed: ______ Anniversary Date: ______________________________________________________________

Analyst OCCUPATION/PROFESSION: __________________________________________________ EDUCATION:: High School/College: ____________________________________ Degree_________________

Strayer University MPA Graduate School: _______________________________________ Degree ________________ Awards/Achievements: __________________________________________________________ ______________________________________________________________________________ ORGANIZATION/CLUB AFFILIATIONS: Federally Employed Women, Stafford County Crimesolvers, NAACP, Community Volunteer ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


HOBBIES: Walking, hiking, volunteering, mentoring, traveling, spending time with family and friends ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ FAMILY: Spouse/Partner/Significant Other: ___________________________________________________ Occupation/Profession: Analyst ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Strengths Applicant will bring to the Chums: Networking and communication ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Submitted by Chum: __________________________________________________________________

Chums, Incorporated 501 (c) (3)

Revised: 4/2013


Last Name Abbott Andrews Arce Brooks Carrington Johnson-Flemister Johnson-Flemister Lowe Mosley Muhammad Newton Prather Singleton

First Name Linda Kelly Mildred Chantel Kenya Desiree Loreia Angela Ta-Tanisha Cynthia Ann Shorana Metria

Address 14 St. Williams Way 3 St. Roberts 36 Hayes Street 108 Sanctuary Lane 108 Sanctuary Lane 34 Hayes Street 34 Hayes Street 27 Bells Ridge Drive 7 Snow Meadow Lane 9711 Rockwell Road 108 Sanctuary Lane 5123 Lake Terrapin Drive P. O. Box 1466

City Stafford Stafford Stafford Stafford Stafford Stafford Stafford Stafford Stafford Fredericksburg Stafford Woodbridge Stafford

Zip Code 22556 22556 22556 22554 22554 22556 22556 22554 22554 22407 22554 22193 22554

Cell Number 540-729-9887 540-446-4999 540-446-1991 240-678-3611 443-449-0047 202-718-5311 202-714-1109 540-220-4996 540-779-3336 540-645-0502 571-386-9587 678-480-9763 703-244-1944

Email Address linabb03@gmail.com andrewskelly42@yahoo.com mike_mildred@yahoo.com chantel_brooks@yahoo.com kpcarrington@gmail.com djflemister03@gmail.com loreia@netzero.com Dskelolo@aol.com tatanishamosley@gmail.com cynt.kilby@gmail.com ann.newton123@hotmail.com PrathersL@yahoo.com tsingle720@gmail.com

Birthdate 9-Mar 10-Jan 19-Apr 8-Dec 23-Feb 14-Oct 17-Aug 15-Jun 9-Oct 4-Jun 5-Feb 24-Feb 14-Apr

Spouse Name Clyde Eddie

Sherman

Charter Member Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Officers Historian

Vice President Treasurer President Chaplain Recording Secretary Sgt-At-Arms Financial Secretary Parlimentarian



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