Aero Orlando B.E.C. Member Registration Form

Aero Orlando Black Excellence Council (B.E.C.)

MEMBERSHIP REGISTRATION
B.E.C. is rebranding and we'd like to have more insight on our membership. To do so, we are asking all existing and new members to complete this form to assist us in identifying our membership and their interests.
Business Area:
Work Location
Name

PrefixFirst NameLast NameSuffix
Do you consider yourself a member or ally?
Are you a College Intern or High School Intern?
Home Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code
Job Title:
Work E-mail
example@lmco.com
Personal E-mail
example@example.com
Work Phone Number:
Format: (000) 000-0000.
Do you authorize B.E.C. to add your personal mobile number above to GroupMe?
Personal Mobile Number:
Format: (000) 000-0000.

Aero Orlando Black Excellence Council (B.E.C.)

MEMBERSHIP REGISTRATION
B.E.C. is comprised of individuals with various interests. In an effort to improve member engagement in professional, social, and volunteer/recruiting functions, we ask for suggestions on events, as well as, feedback.
Professional Events:
Social Events:
Volunteer Events:
Additional feedback:
Are you interested in being a moderator/panelist/couch guest?
If so, what topics of interest would you like to participate in:
Should be Empty:

Aero Orlando Black Excellence Council (B.E.C.)