It Takes A Community To Help A Community!

The Great Ocala Jaycees

Please fill out the below form if you are interested in becoming a Jaycee or if you would like to volunteer for an event. The field marked with (*) are required fields. * Name * City * Address * State [Select One]AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashingtonWest VirginiaWisconsinWyoming * Zip Code * Home Phone Cell Phone * Email Address * Month of Birth [Select One]JanFebMarAprMayJunJulAugSepOctNovDec * Date of birth [Select One]12345678910111213141516171819202122232425262728293031 * Year of birth [Select One]1960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005 Is a safer community important to you? Yes No Do we need more volunteers helping our community be better? Yes No Do our schools need more support from the community? Yes No Do you know that the Ocala Jaycees help make our community a better place to live? Yes No Please feel free at add any other community needs you think the Ocala Jaycees need to address. Comments CONTACT US! ocalajaycees@hotmail.com