New Member Form

Groves Conference on Marriage and Family

If you know of someone whom you want to nominate for Groves membership, please fill out the following information and submit. All information is directed to the membership chair. Please remember to provide all the information requested and be certain to inform the candidate of the need to send his or her resume to the membership chair.

New Member Nomination Form

Your Information

Your Name
Your Affiliation
Your Email Address
Phone Number
Fax Number

Nominee's Information

Nominee's Name
Nominee's Affiliation
Nominee's Email Address
Nominee's Phone Number
Nominee's Fax Number
Nominee's Address
Nominee's City
Nominee's State
Nominee's Zip
Recommending for Full Membership
Associate Membership
Nominee's Resume