Apply to become a Glen Oak Country Club member today!

Glen Oak Country Club is a private club designed solely for the exclusive use of its members and their guests. To start the application process, we encourage you to fill out the membership application and download two sponsor forms below. Following submittal of the membership application, the Membership Chairman will contact you to schedule an onsite meeting and tour of the facility.

The Club is proud of its facilities and enjoys showing prospective members all of the benefits it offers. After the tour, the application and the appropriate accompanying sponsorship forms (2) are submitted to the Board. If the application is approved, an official invitation will be extended to join.

Glen Oak believes in a high standard of ethics and a superior quality code of behavior that unites its membership. Respect for each other and for club property is exhibited at all times. Rules and regulations are abided by with pride by all members.

Downloadable Membership Application

Sponsorship Form

Membership Application

I hereby apply for the following Membership in Glen Oak Country Club.*
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone Number*
Date of Birth*
MM slash DD slash YYYY
Social Security Number
Please note: Social Security Number will be required to apply for Glen Oak Country Club membership; however, for security reasons, we will contact you directly for this information.
Spouse Name
First Last
Spouse Date of Birth
MM slash DD slash YYYY
Spouse Email
Spousal Golf Privileges:
- Yes
- No
Children’s Names and Date of Birth
What local Community Organizations do you belong to and what Civic Activities do you participate in?
Employer
Years in Scranton Area
Position
Phone
Years at this Job
Previous Employment

If less than 5 years at the current employment.
If related to any members, please list those members and relationship:
List two references (not Family) beyond sponsors who you know at Glen Oak.
Are you a member of any other Country Clubs? If so, list Club and length of membership.
If new to this area, were you a Country Club member elsewhere?
How Long?
What Club?
Have you ever been rejected, expelled, or resigned from any other club?
- Yes
- No
Please list your two Glen Oak Sponsors below:
Sponsor #1 Name
First Last
Sponsor #1 Years Known
Sponsor #2 Name
First Last
Sponsor #2 Years Known
IF ELECTED TO MEMBERSHIP I AGREE TO ABIDE BY ALL RULES AND REGULATIONS OF GLEN OAK COUTNRY CLUB AS PROVIDED BY ITS CONSTITUTION AND BY-LAWS. THE UNDERSIGNED INDIVIDUAL(S), PURSUANT TO APPLYING FOR MEMBERSHIP AT GLEN OAK COUNTRY CLUB, HEARBY PROVIDE(S) WRITTEN AUTHORIZATION TO GLEN OAK COUNTRY CLUB TO REVIEW SUCH INDIVIDUAL(S) PERSONAL CREDIT PROFILE FROM ONE OR MORE NATIONAL BUREAUS. PLEASE CHECK THE BOX BELOW.*
- Accept
Signature*
Date*
MM slash DD slash YYYY
Spouse Signature - if applicable
Date
MM slash DD slash YYYY
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Apply to become a Glen Oak Country Club member today!

Membership Application

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