Region 1 Chapter Visit Request Form
Your Name *
Your answer
Chapter Name *
Please provide the full name
Your answer
Location *
Your answer
Chapter Leadership Position (if any) *
Your answer
Contact Email Address *
Your answer
Contact Phone Number *
Your answer
How would you classify your chapter? *
Is there a particular member(s) of the REB or PEB you would like to request? *
If so please list below.
Your answer
Please List 3 Dates & Times for a Potential Visit *
Your answer
If an in person meeting for the requested parties is not feasible, is your chapter opposed to a virtual visit? *
Are there any events your chapter is hosting this year that you will like the REB to attend? *
Please provide the name of the event, the date, and location (building name)
Your answer
Why are you requesting a chapter visiting AND how could a visit from NSBE R1 Leader address your chapter's needs? *
Your answer
Can someone from the chapter arrange a ride pick up from airport, bus or train station if need be? *
This will help the Region Plan Accordingly
Your answer
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