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Chapter Visit Request Form
Please complete this form to request a chapter visit from a national or regional NSBE leader.
Email Address (this email will be used to contact you)
Name (First, Last)
NSBE leadership position (if any)
If your region is segmented into zones please provide the zone name.
Please describe the greatest strengths, weaknesses, and immediate needs of your chapter.
Please provide the name and position of leader being requested for visit.
Please provide the reason for the request.
What level of engagement and knowledge from the leader is needed?
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This form was created inside of National Society of Black Engineers.