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
Please complete this section if you are a Business Owner:
Place of Birth
Employment History
Education/ Training
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.