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.
What membership token / item would you like?
I'm okay without a token!
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?
How much career experience do you have?
0 - 3 years
3 - 5 years
5 - 7 years
7 - 15 years
15+ years but still killin' it
What is your age range?
18 - 22
23 - 29
30 - 39
40 - 49
50 - 59
Fine like wine! (60+ years young)
What area of Georgia do you live in?
North (Metro) Atlanta
East (Metro) Atlanta
South (Metro) Atlanta
West (Metro) Atlanta
Out of State!
What kind of events would you like to have?
Health & Wellness
Networking / Social
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.
I agree AND will not attend events if I feel sick, have a fever, or have tested positive for COVID-19 in the past 14 days.
Are interested in mentoring?
I would like to be a mentor
I want to be mentored
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)
Employed Full time
Employed Part time
Unemployed; seeking employment
Unemployed; not seeking employment
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