Membership Application & Vetting Form

Thank you for your interest in joining American Reich.

American Reich is a private membership organization founded upon and guided American based beliefs and values. Membership is selective and subject to a vetting and approval process.

Submission of this application does not guarantee acceptance. All applications are reviewed internally, and membership is granted at the sole discretion of the organization in accordance with its mission, values, and bylaws.

Please answer all questions truthfully and completely. Incomplete or false information may result in denial or removal.

TITLE: NOTICE OF DISCRETIONARY MEMBERSHIP AND UNILATERAL RIGHT OF REFUSAL

Membership in [Organization Name] is a revocable privilege, not a right. I acknowledge and agree that the Organization, through its Leadership, retains the absolute, unilateral, and unappealable right to:

Deny any application for membership for any reason or no reason.

Suspend or Terminate membership at any time without prior notice or cause.

Route my application to specific Leadership for deeper vetting based on the Organization's internal needs and security protocols. I waive any and all claims, legal or otherwise, arising from a denial or termination of membership.

Signature *

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FCRA DISCLOSURE AND AUTHORIZATION FOR BACKGROUND INVESTIGATION

TITLE: NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO 15 U.S.C. § 1681b(b)(1)

The [Organization Name] (“the Organization”) hereby notifies you that, as part of the membership application process and for the duration of your membership, it may obtain "consumer reports" or "investigative consumer reports" about you from a consumer reporting agency. These reports may include, but are not limited to, information regarding your character, general reputation, personal characteristics, criminal history (Federal and State), sex offender status, and public social media activity.

AUTHORIZATION: I hereby authorize the Organization to conduct a background investigation and to procure such reports at any time during the application process and on a periodic, ongoing basis for as long as I remain a member, without further notice. I understand that the Organization’s private server will archive these results securely. I release the Organization and its agents from all liability related to the procurement or use of this information to the maximum extent permitted by law.

Signature (FCRA) *

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First Name

Last Name

Date of birth *

Address

Street Address

City

State

Country

Postal Code

Phone *

Email *

By checking this box, I consent to receive non-marketing emails and text messages from American Reich LLC. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from American Reich at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

BEGIN APPLICATION

This organization is founded upon American values and principles. These principles include, but are not limited to, personal responsibility, moral integrity, respect for life, individual liberty, service to others, accountability, and the rule of law. These values guide the organization’s mission, leadership, and standards of conduct.

To ensure alignment and integrity, applicants are asked to affirm these principles and disclose ideological positions that may be relevant during the vetting process.

Values & Principles Affirmation

Yes, I understand that this organization is grounded in American values and principles, and I affirm that I can support and uphold these values and standards of conduct as a member

No, I do not affirm this

Conduct

Are you willing to conduct yourself in a manner consistent with these American values and principles while representing or participating in this organization?

No

Are you a Zionist, a Judeo-Christian Zionist, or do you support Zionism in any form?

Yes

No

Are you currently affiliated with any group whose mission or activities conflict with this organization’s American values or objectives?

Yes

No

Unsure

If Yes or Unsure:

Are you willing to follow the organization’s Code of Conduct and leadership structure?

Yes

No

Are you willing to undergo a vetting and internal review process before membership approval?

Yes

No

If accepted, are you willing to serve in a probationary or trial period before full membership?

Yes

No

Why do you want to join this organization?

In your own words, what do you believe this organization stands for?

What skills, experience, or strengths would you bring to this organization?

Background & Prior Affiliations

Have you ever been a member of another civic, political, advocacy, religious, or structured organization?

Yes

No

If Yes: Please list the organization(s) and your role(s).

Have you ever held a leadership position in any organization?

Yes

No

If Yes: Please describe your leadership role(s).

Have you ever been removed, suspended, or asked to resign from any organization?

Yes

No

If Yes: Please explain the circumstances.

Military Veteran?

Yes

No

LEGAL & SAFETY DISCLOSURE

For the safety and integrity of our members, leadership, and the communities we serve, certain disclosures are required.

Have you ever been accused, arrested, charged, or convicted of any sex-related offense, including but not limited to sexual assault, sexual abuse, exploitation of a minor, possession or distribution of illegal sexual material, or any offense requiring registration as a sex offender? ⚠️ Important Note (description under the question): This question includes accusations, arrests, charges, and convictions, regardless of outcome. Disclosure does not automatically disqualify an applicant but will be considered during the vetting process. Failure to disclose relevant information is grounds for denial or removal.

Yes

No

If Yes: Please provide a brief explanation, including dates and outcomes.

Attestation & Acknowledgments

Please read and acknowledge the following statements: · I certify that the information provided in this application is true and accurate to the best of my knowledge. · I understand that submission of this application does not guarantee acceptance. · I understand that false statements or omissions are grounds for denial or removal. · I acknowledge that this organization is a private, American values-based membership organization. · I acknowledge that membership decisions are made at the sole discretion of the organization. All information provided in this application is treated as private and confidential. The organization does not sell, share, disclose, or distribute applicant information to third parties, the public, or outside organizations. Access to submitted information is strictly limited to authorized leadership and designated reviewers for the sole purpose of vetting, internal review, and membership determination. Information will be used only in accordance with the organization’s mission, internal policies, and standards of conduct. Reasonable administrative and technical safeguards are in place to protect applicant data from unauthorized access or disclosure. By proceeding, you acknowledge that you understand and accept this privacy commitment.

Accept

Deny

Application Signature *

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