7025 NAACP Membership Information
The work of the Association - equality and justice for all - depends on the support and participation of caring and progressive individuals like you.
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Email address
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Your email
Name
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Your answer
Phone number
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Your answer
Date of Birth
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YYYY
What is your preferred method of communication?
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Choose
Email
Phone Call
Text message
What is your occupation?
Your answer
If applicable, please provide the name(s) of the College/Career Institution(s) you attended below:
1.
Your answer
2.
Your answer
Are you a member of any other organizations?
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Yes
No
If Yes, please select the type of organization. (Check all that apply)
College/University Alumni Association
Fraternity/Sorority - Greek Organization
Non-Profit Organization
Professional Organization
Service Organization
Other
Please list the name(s) of each organization
1.
Your answer
2.
Your answer
3.
Your answer
4.
Your answer
5.
Your answer
Are you interested in serving on a committee?
Yes
No
I need more information
What special talents, strengths, or interests do you have that would add to our organization and benefit the community? Ex: digital media, organizing events, public relations, fundraising, etc.
Your answer
If Yes, please check all that apply:
Claudia Pickeral Scholarship
Community Coordination/Outreach
Economic Development
Education
Freedom Fund
Health
Legal Redress
Membership
Political Action/Social Justice
Press & Publicity
Religious Affairs
Youth Works
Other:
Would you like to Chair/Co-Chair a Committee?
Yes
No
I need more information
Clear selection
If Yes, Choose one of the following
Choose
Claudia Pickeral Scholarship
Community Coordination/Outreach
Economic Development
Education
Freedom Fund
Health
Legal Redress
Membership
Political Action/Social Justice
Press & Publicity
Religious Affairs
Youth Works
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