Annual Membership Application
 
 
This is a       New Membership or  a Renewal                 * items are required
 *Name:  *Title:                    

 *Name of Company:

 *Brief Description of Company's services:  


Mailing Address and Contact Information:

*Street1:
Street2:
*City:
*State:
*Zip:
*Email:  
*Business Phone:
Fax:
Website:

Directory Listing
Please indicate the primary services provided by your company:

Care Management Services
(i.e. Doctors, Care Managers, Senior Advisors)
Community Support Services
(i.e. Senior Directories, Funeral Homes, Transportation, Non-Profits, Home Transformation, Technology, Senior Real Estate)
Financial & Legal Services
(i.e. Financial Planners, Elder Law Attorneys, Long Term Specialist, Reverse Mortgage Specialist)
Health & Wellness Services
(i.e. Senior Centers, Physical Therapy, Eye, Hearing Specialist, Pharmacy)
Home Care Services
(i.e. Hospice Companies, Home Health, Private Duty In-Home Care Companies)
Residential Care Facility Services
(i.e. Independent Living, Assisted Living Facilities, Hospice Homes, Skilled Nursing and Rehab Facilities, House Call Doctors)

Annual Membership Fee

$100 per individual member
$50 for individual member from non-profit
organizations with less than 10 employees

* Committee selection:
 Each member is required to participate in one committee – Please review and make your selection

Membership Committee

  • Membership requirements
    Maintain membership records and database including attendance, establish dues

  • Membership Orientation
    Develop orientation process

  • Membership meetings
    Determine membership meeting format
    Secure meeting location, sponsors, speakers, and greeters

Collaboration Committee

  • Internal Collaboration
    Establish networking opportunities for members at meeting and outside of meetings

  • External Collaboration
    Shall strive to be an informative, non-partisan link between LSN and other groups
    Shall gather information in regard to federal, state, and local developments and report back to LSN members

Public Relations Committee

  • PR
    Coordinate all public relations and marketing efforts (internally and externally) on behalf of LSN including press releases, news stories, brochures, flyers, etc

  • Outreach Efforts
    Investigate project possibilities related to community needs, develop proposals, and recommend to the Board the most appropriate projects
    Develop, coordinate, operate and track at least two LSN community projects per year including develop volunteer and contribution opportunities


Code of Ethics
Each member must read and agree to the Lowcountry Senior Network’s Code of Ethics as defined in the bylaws. For a copy of the code of ethics click here or for a complete copy of the bylaws click here.

By entering your name below, you and your company’s representatives agree to adhere to the code of ethics.

*Member:  

*Date application completed:          Please email photo for directory Here
Comments or questions:


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