Application Form - North Harbour Club

Congratulations on your decision to apply for a membership to the North Harbour Club.

Every membership contributes to opening doors for outstanding young people from the North Harbour region, helping them reach their full potential through grant funding and recognition from our annual Youth Excellence Awards programme.

Please complete the application questions below, include the names of your nominating members, and attach your CV or LinkedIn profile detailing your employment history, community involvement, and personal interests. Once complete, submit your application for consideration.

If you have any questions about the application process or on membership, please contact Ruth Kelly on info@northharbourclub.co.nz

Membership

Nominating Members

Note: If you are new to the Club and do not know any current Members, a Committee Member or the General Manager can sign as your proposer and seconder in person at one of our Club functions.

Name of your First Nominating Member

First Name

Last Name

Name of your Second Nominating Member

First Name

Last Name

Personal Details

Please enter your personal details below:

Prefix

First Name

Last Name

Your Email Address

Date of Birth

Mobile Number

Home Street Address

Suburb

City

Post Code

Work / Business Details

Please enter your work details below:

Work / Business Name

Phone Number

Your Role

Industry

Work / Business Street Address

Suburb

City

Post Code

Postal Address (if different from above)

Postal Address

Suburb

City

Post Code

Questions

Please answer all questions below:

What do you know about the North Harbour Club and the work we do in our community?

How can you contribute to the success and impact of the North Harbour Club?

How can the North Harbour Club deliver greater value to you as a member?

Which business, community, sporting, or industry leaders would you like to hear from at the North Harbour Club breakfasts and lunches?

Would you be interested in playing a supporting role in the club?

Yes

If you selected yes, in what capacity?

Would you be in a position to donate goods, services, experiences, or auction items to help raise funds through North Harbour Club charity auctions?

Yes

If yes, what might you be able to contribute?

Membership

Please select your membership options below:

Please select your Membership Type

$690.00 for each year

$3,105.00 for each year

$345.00 for each year

$172.50 for each year

$2,070.00 for each year

Please upload your CV/LinkedIn Profile

Choose File

*To upload a LinkedIn profile, please take a screenshot and paste it into a word doc along with the link to your profile.

Conditions of Membership

Please tick that you AGREE to the following:

I have read and agree to the conditions of membership (Code of Conduct)

I commit to being an active member of the North Harbour Club and supporting the Club's goals through regular attendance at events, promoting the good work of the Club within my network, introducing and inviting potential new members, donating goods, services or experiences for charity auctions, and supporting sponsorship and fundraising initiatives that help strengthen our community and champion youth excellence.