RTwelve Women of Newport Beach - Prospective New Member Application

Prospective New Member Application

Thank you for your interest in RTwelve Women of Newport Beach. Our chapter's annual new member drive will open in January 2026.

We look forward to meeting you and your daughter! Save the Date for our Our Prospective Member Informational Meeting will be on Wednesday, January 28th at 9:30am at Rockharbor Church.

Please use the "Contact Us" tab for further membership inquiries.

Together,
The RTwelve Women of Newport Beach New Member Team

Mother

Mother First Name

Mother Last Name

Mother Email Address (This is the primary contact for email communication.)

Mother Home #

Mother Cell #

Occupation (indicate part-time/full time)

Address

City

State

Zip Code

Spouse's Name

Spouse's Occupation

Spouse's Email

Spouse's Cell #

Church

Daughter

First Name

Last Name

Birth Date

Current School

Grade in Fall

High School Graduating Class

High School

Daughter Cell

Are you an R12 Legacy of this chapter (you had a sibling/child in this R12 chapter previously)?

Yes

If yes, what year(s), chapter(s) and what was your family member’s name(s)?

Were you in an RTwelve Chapter previously but resigned before high school graduation?

Yes

If Yes, please explain why you left, and why you'd like to return.

How did you hear about RTwelve? Please list any contacts currently in the organization.

Do you know an RTwelve Alumni and/or Sustainer? If so, who? (Sustainers are individuals affiliated with RTwelve who have a paid membership in the Sustainer Association. They can recommend 2 potential new members. These potential new members receive priority in recruiting if the Sustainer submits a Sustainer PNM Recommendation.)

Please list Sustainer email addresses if you’d like us to reach out for a recommendation for you.

Did you (or will you) attend an RTwelve Informational Meeting to learn about the organization and how it operates? If so, when (date) and where? We ask all prospective new members to attend an informational meeting prior to applying for membership.

If work, other volunteer and family commitments may cause conflicts with RTWELVE commitments please explain how you might prioritize RTWELVE into your lifestyle:

Prospective New Member(Mother): Please list current & past organizational affiliations, community and volunteer positions:

Organization	Position Held	Dates

With your knowledge of RTWELVE and its purpose, what do you feel you can add or bring to the organization? Please list special talents, abilities and interests:

Please describe your relationship with Jesus Christ and your philosophy in serving Him:

Please tell us about your Daughter, including special talents, abilities, interests and philanthropic/ministry service involvement.

RTwelve Statement of Faith

We believe the Bible to be the inspired, only infallible, authoritative word of God.
We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit.
We believe in the deity of Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.
We believe that for salvation of the lost and sinful people, regeneration by the Holy Spirit is absolutely essential.
We believe in the present ministry of the Holy Spirit, by whose indwelling a Christian is enabled to live a godly life.
We believe in the resurrection of Jesus Christ and that all who call upon His name will be saved.
We believe in the spiritual unity of believers in our Lord Jesus Christ.

In signing this application, you and your student agree to the tenets of the RTwelve Statement of Faith.

E-Signature

Pastor/Ministry Reference

Name

Church

Phone number and/or email

PLEASE READ THE FOLLOWING:

I understand and agree that the information in this form will be reviewed and verified by RTWELVE leadership and that my name may be presented to the general membership. I further understand that membership is not guaranteed and that the decision of the RTWELVE Board of Directors is final. By submitting this form I understand that the information on this page will be reviewed by the Membership Committee of RTWELVE.

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