LOS CALIFORNIANOS

application for historian membership

"The Board of Directors may grant Historian Membership to a historian, author, or scholar who has rendered outstanding assistance in the study and dissemination of information on Alta California. The Board of Directors at its second meeting shall reevaluate each Historian Membership to determine whether such membership shall continue."

I have read the above section of the Bylaws of Los Californianos and I hereby apply to the Board of Directors for Historian Membership. 

Signature: _______________________________________ Date: ________________

Please type or print your name as you wish it to appear:

 _____________________________________________________________________
First Name, Middle Name, Last Name

( __ Mr. __ Mrs.__ Ms. __ Miss __  Dr. __ or Other title _____________________ )

Address: ______________________________________________________________

_______________________________________________________________________
City                                                                                                                State                    Zip ( 9 digits if known)

Phone: ___________________________ E-Mail: ________________________________

Birth Date: _________________ Academic Degrees: _________________________
                       

Occupation: _______________________________________________________________

On a separate sheet submit your qualifications for Historian Membership, 
including any publications or other significant activities, or Vita Curricula.

All applications MUST be accompanied by a check payable to Los Californianos   
in the amount of $35 (annual dues of $20 and application fee $15). 
Send completed application and statement with your check to:
JoAn Guthrie, Membership Secretary
Los Californianos
P.O. Box 600522
San Diego, CA 92160-0522

The Board of Directors will consider your application at the quarterly meeting
following receipt of your application and the Membership Secretary will inform 
you of the result.
Historian Members are entitled to receive, when issued, all publications of Los
Californianos. 
They may not vote, hold office, or serve as chairmen of standing committees.

Click here to return to Instructions                                                           (1 Oct 2004)