2021-2022 NSBE Atlanta Professionals Membership Survey
We would love to have you as a part of our group! Please fill out the form below and reach out to us if you have any questions.

Also, we're considering providing more T-shirts this year for our members. If interested, please fill out the T-shirt information below. Thank You.
Email *
Name *
What membership token / item would you like?
Clear selection
Phone Number *
T-shirt size (adult men's sizing) *
Would you like to order additional T-shirts? ($20 per shirt) *
What company / organization do you work for?
Employment Industry *
How much career experience do you have? *
What is your age range? *
What area of Georgia do you live in? *
What kind of events would you like to have? *
Required
The novel coronavirus (“COVID-19”), has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. While rules, guidance, and personal discipline may reduce this risk, the risk of serious illness and death does exist. The NSBE Atlanta Professionals Chapter cannot completely mitigate the transfer of communicable diseases like COVID-19. Participation in in-person events include possible exposure to and illness, injury, or death from infectious diseases including COVID-19.
Clear selection
Are interested in mentoring?
Do you have any suggestions that you would like to see implemented in the NSBE Atlanta Professionals Chapter?
Home Address (used to coordinate t-shirt / token delivery) *
Employment Status
Clear selection
University (Optional)
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