NSBE S.C. Midlands Professional Chapter

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Chapter Membership Application

The membership period is August 1st through July 31st.

This application is for chapter membership only

Chapter Dues: $20.00 (annually)

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Application Date *

YYYY

Are you nationally registered with NSBE? *

Yes

Last Name *

First Name *

E-mail Address *

Please enter an e-mail address to receive chapter information.

Phone Number *

Please enter your best contact number.

Employeer

Occupation and Job Title

What committees interest you? *

Please select all that apply.

Communications

Finance

Public Relations/ Publications

Membership

Programs

Pre-College Initiaitve (PCI)

College Initiative (CI)

Required

Certifications or Professional Licenses

Please list any certifications or professional licenses obtained.

Degrees Obtained and Major

Please list any degree obtained and the associated major.

College or University

Submit

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