Apply For Membership Application for Membership I hereby apply for admission into the Ancient Order of Hibernians in America, Inc., and agree that my reception and continuance in said Order shall depend on the truthfulness of my answers to the questions which are hereto attached, which answers are made by me for the purpose of gaining admitted to the order. TO BE A MEMBER YOU MUST BE A PRACTICING CATHOLIC AND BE OF IRISH HERITAGE BY BIRTH OR DESCENT. (Only Exception: Clergy need not be Irish.) Please Note This Application is for New York State Divisions Only. Please Visit AOH.com for inquiries for non New York Divisions. To find the division closest to you please visit our Division Directory. (Note: Will Pop Up In New Window) My Name is:* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone*Cell PhoneWork PhoneEmail* Occupation*Date of Birth* MM DD YYYY Irish by:*BirthDescentAdoptionMother's Maiden Name*Are You Catholic?*Roman CatholicOther Catholic Rite Recognized By the PopeName of Your Parish*Have you complied with your religious duties within the past 12 months:*YesNoDo you belong to any Society to which the Catholic Church is opposed?*YesNoWere you ever previously a member of the Ancient Order of Hibernians before?*YesNoIf you were a member before please give the City, State, Division # and reason for withdrawalDo you have a specific division you would like to join?*YesNoDivision Name, Number, Location and CountyI do solemnly pledge my sacred word and honor that the answers I have given to the above questions are true.* I Do Pledge NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.