Chapter Visit Request From
Please complete this form if you'd like members of the Region II Executive Board to visit your chapter. Please note that all request must be made at least three weeks in advance of the first date requested. Please e-mail Dunsin Fadojutimi at r2vicechair@nsbe.org once you have completed this form.
Email address *
Full Name *
Phone number *
Chapter *
Position *
Which REB member(s) are you requesting? *
Required
Dates Requested (Can list up to three) *
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What is the main reason you are requesting a chapter visit and how would a visit from a REB member address your chapter's needs? *
How would you classify your chapter's strength? *
Developing
Strong
How would you classify your chapter's length of activity? *
Newly Chartered
Well Established
Any additional comments regarding your request?
Submit
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