Form VA Form 0918e VA Form 0918e MEMBERSHIP APPLICATION

OMB Approved No. 2900-0921
Respondent Burden: 20 Minutes
Expiration Date: 07/31/2026

MEMBERSHIP APPLICATION
VETERANS DAY NATIONAL COMMITTEE
DEPARTMENT OF VETERANS AFFAIRS
OFFICE OF PUBLIC AND INTERGOVERNMENTAL AFFAIRS
ATTN: VETERANS DAY COORDINATOR (002D)
810 VERMONT AVENUE, NW
WASHINGTON, DC 20420
DATE SUBMITTED (MM/DD/YYYY)
2. BUSINESS ADDRESS (Include City, State, and Zip Code)

1. ORGANIZATION

3. BUSINESS TELEPHONE NUMBER

4. BUSINESS FAX NUMBER

6. WEB PAGE ADDRESS

5. BUSINESS EMAIL ADDRESS
7. CURRENT NATIONAL PRESIDING OFFICER

8. WHAT IS THE MAIN PURPOSE OF YOUR ORGANIZATION

9. WHY DO YOU WISH TO JOIN THE VETERANS DAY NATIONAL COMMITTEE (VDNC)

10. WHAT IS THE SIZE OF YOUR MEMBERSHIP

11. WHAT PERCENTAGE OF YOUR MEMBERSHIP CONSISTS OF VETERANS
%

12. MEMBERSHIP QUALIFICATIONS

13. DATE FOUNDED
(MM/DD/YYYY)

14. NUMBER OF
ACTIVE CHAPTERS

15. NUMBER OF STATES
WITH ACTIVE CHAPTERS

16. DO YOU HAVE NATIONAL BY-LAWS OR A
CONSTITUTION (If yes, please attach a copy)
YES

NO

17. DO YOU HAVE AN ANNUAL NATIONAL CONVENTION (If yes,

18. DO YOU PRODUCE ANY PERIODIC PUBLICATIONS (If yes,

please attach a program from your most recent convention)

please include the last three issues with your application)

YES

YES

NO

19. NAME OF PUBLICATION

VA FORM
JUN 2024

0918e

NO

20. FREQUENCY OF PUBLICATION

21. DATE OF FIRST ISSUE
(MM/DD/YYYY)

Page 1

22. IS YOUR ORGANIZATION FEDERALLY CHARTERED AND/OR RECOGNIZED OR APPROVED BY THE SECRETARY OF VETERANS AFFAIRS FOR
PURPOSES OF PREPARATION, PRESENTATION, AND PROSECUTION OF CLAIMS UNDER LAWS ADMINISTERED BY THE DEPARTMENT OF
VETERANS AFFAIRS, AS PROVIDED IN SECTION 5902 (FORMERLY SECTION 3402) OF TITLE 38, UNITED STATES CODE (U.S.C.) AND
SUBSECTION 14.628 (a) AND (c) OF TITLE 38, CODE OF FEDERAL REGULATIONS (C.F.R.)
YES
NO
IF YES, WHAT IS YOUR CHARTER'S
PUBLIC LAW NUMBER

ON WHAT DATE WERE YOU
CHARTERED BY CONGRESS

23. IS YOUR ORGANIZATION CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS NON-PROFIT
(If yes, please include evidence of non-profit status, e.g., letter of determination)
24. IF ACCEPTED AS A MEMBER/MEMBER, WILL YOUR ORGANIZATION HONOR ALL VETERANS
DAY NATIONAL COMMITTEE MEMBER/MEMBER ORGANIZATION RESPONSIBILITIES AS
DESCRIBED IN THE COMMITTEE'S BY-LAWS
25. DO YOU HAVE A REPRESENTATIVE WHO WILL ATTEND COMMITTEE MEETINGS IN
WASHINGTON, DC

YES

NO

YES

NO

YES

NO

APPLICANTS SHOULD SUBMIT SUPPORTING DOCUMENTATION TO ENABLE THE COMMITTEE TO MAKE AN INFORMED DECISION

SIGNATURE (Ink signature)

TITLE

DATE

PLEASE SEND THIS APPLICATION VIA EMAIL: [email protected]
SUSPENSE FOR APPLICATIONS IS JUNE 2 OF EVERY YEAR

RESPONDENT BURDEN: VA may not conduct or sponsor, and the respondent is not required to respond to this collection of information
unless it displays a valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 20
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. If you have comments regarding this burden estimate or any other
aspect of this collection of information, call 1-877-222-8387 for mailing information on where to send your comments.
VA FORM
DEC 2023 0918e