Renewal Adult Worker Profile

Renewal Adult Worker Profile (for returning Board Members or Jr Board Members, or Certified Chaperones who have had no changes in their personal information since last year). If that is the case, please fill out the full adult worker profile here

Name

First Name

Last Name

Phone Number

(###)

###

####

Assembly Name/Number and/or District

Confirmation

I confirm that all information previously submitted on my most recent Ohio Rainbow Board Application remains accurate and up to date.

Confirmation

I understand that if any information has changed (such as contact information, Masonic affiliation, or contacts), I should instead complete the full Board Application form found at www.ohiorainbow.org/board-application

By completing this with an electronic signature below, I acknowledge that the information on my previous application remains current and that I agree to uphold the responsibilities of my role in the International Order of the Rainbow for Girls.