The Boston Chapter of The NBMBAA | Membership Application

Membership - Application

Complete everything on the form, except the payment information, and print a copy of this page. Next, fill in the payment data and mail the completed form with full payment to the National Black MBA Association (Headquarters).

NBMBAA
P.O. Box 909132
Chicago, IL 60680-9132

The Boston Chapter will update our local records when you submit the electronic form. Thank you!

First Name:	MI:
Last Name:

Gender: Male Female

Home Address:

Street/P.O. Box:
City:	State:
Zip Code:
Home Phone:

Employer:
Office Phone:
Address: Street/P.O. Box:
City:	State:
Zip Code:
Job Title:
Year Employed:

Employer's Primary Business:
Job Function:
Sales Type:
Other Type:

Undergraduate School:

Name:
City:	State: Class of 19
Degree:	Major:

Graduate School:

Name:
City:	State:
Class of :	19
Concentration:
Degree:
Other:

Please specify the local chapter committees you would like to work with:
(Number in order of preference)

Business Corporate	Community Development	Fund Raising
Human Resources	Membership	Program
Public Relations	Scholarship/Banquet	Student Affairs

Membership (Please review the criteria for the three types of membership described below and check one. Memberships are based on the calendar year. Membership dues are paid annually, unless you are a Full Life or an Associate Life Member).

Full Member (Anyone with a MBA degree or other advanced degree - MS, MHA, MPA, or Ph.D., MSW, etc)
Full Member ($125) Full Life ($1,000)
Full Life Installment (3 annual payments of $350)

Student Membership status includes students enrolled in any graduate degree program (a two-year limit). New/Renewing members need to submit evidence of matriculation into a graduate degree program (i.e. a copy of a current school ID card or registration). Student Member ($60)

$60/year
(limited to two years)

Associate Member (Anyone distinguished in business because of management or entrepreneurship)
Associated Member ($125) Associated Life ($1,000)
Associated Life Installment (3 annual payments of $350)

Please state the chapter you want to join:
Type of Membership:
If renewing your membership, what year did you first join the NBMBAA? 19

Amount Enclosed: $ Date:

Signature:

Credit Card Type:
Expiration Date:
Credit Card No.:

Signature:

Note: You must print out confirmation form and mail to NBMBAA along with payment in order to officially join the organization.

Membership Types | Membership Benefits | Membership Meetings | Membership Update

National Black MBA Association - Boston Chapter
PO Box 181188 - Boston, MA 02118-0012
info@bostonblackmba.org

The National Black MBA Association Boston Chapter

The National Black MBA Association
Boston Chapter