• Membership Application

  • 100 Black Men of Macon Middle Georgia

    P.O. Box 26152 Macon, Georgia 31221

    Donnie Fletcher, Committee Chair

    Committee Members:

    Willie Billingslea - Steve Williams - Joe Lawson - Garrett Williams

  • Required

    You must have a reference from a member in good standing

    Please submit a copy of your Bio and Resume with application

    NOTE: All Applications are reviewed by the membership committee

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  • Please complete this section if you are a Business Owner:

  • Place of Birth

  • Employment History

  • Education/ Training

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  • Georgia Bureau of Investigation

    Georgia Crime Information Center (GCIC)

     

    Consent Form

    I hereby authorize 100 Balck Men Macon-Middle Georgia to recieve and Georgia criminal history record information pertaining to me which may be in the files of any state or local justice agency in Georgia.

  • By signing this form, I acknowledge that I have been informed of the Non-Criminal Justice Applicant's Privacy Rights and the Privact Act Statement (Title 28 United States Code § 534) and Affirm that I have retained a copy (attachements A and B) for my records.

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