Retention Program Participant Registration 2018 - 2019
Greetings Chapter Leader!
Thank you for taking the first step to getting your chapter more involved with the NSBE Retention Program! After submitting to this form, you will be contacted by a member of the NSBE Retention Program Core Team about recommended next steps for you to take.
If your chapter is already implementing the program, please continue to fill out the form. Not only will it assist in further development of the program, but this is the first step in ensuring that your chapter is eligible for end of the year Retention Awards*. Stand up and be counted!
Sign-Up Deadline: 10/14/2018
Please fully spell out.
Region I - Upstate Zone
Region I - Metro/Long Island New York Zone
Region I - New Jersey Zone
Region I - New England Zone
Region I - Canada Zone
Region I - International/West African Zone
Region II - Comfort Zone
Region II - O Zone
Region II - Terror Zone
Region II - Danger Zone
Region II - End Zone
Region V - Cajun Zone
Region V - Missouri Zone
Region V - Oklahoma Zone
Region V - International Zone
Region V - Texas Zone
Region VI - Nor Cal Zone
Region VI - North West Zone
Region VI - Rocky Mountain Zone
Region VI - So Cal Zone
Region VI - South West Zone
Region VI - International Zone
Please input a general nsbe related email address for connecting after your term is over.
Are you a new or returning participant?
What does your chapter expect to gain from the NSBE Retention Program this year?
What topics would you like to see covered on the Monthly Retention Village Calls?
What size chapter do you identify as?
Small (8 > members > 28)
Medium (29 < members < 74)
Large (members < 75)
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of National Society of Black Engineers.