Member Application

If you are interested in applying for membership, we welcome you to schedule an intake meeting and tour with us. Site visits and tours are typically scheduled on a Tuesday or Wednesday, at 10am or 2pm to in accordance to our Members’ schedule. Please contact Tammiko Bess, Executive Director, at (312) 226-8720 to schedule an appointment.

We encourage you to download and complete the Membership Application forms available below. Taking the extra step to review the information we request on the forms may provide you with more ideas/questions in preparation for the site visit/tour.

Clubhouse memberships are life long to provide vital long-term support. Members can return after an extended absence by simply picking up the phone and letting the Clubhouse staff know of their intention to return.

1. 2011 Membership Application (300K)

2. Authorization to Release Information (78K)

3. Consent_Form (43K)

4. Community Integration Questionnaire (103K)

5. Emergency Information Form (133K)

6. Member Referral.pdf (105K)