Carolina Black Caucus Membership Form
Name
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First Name
Last Name
Gender
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Male
Female
Transgender
Non-Binary/Non-Conforming
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Email
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Title
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Department/Unit/Organization
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Address
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Street Address
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City
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Membership Status
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Joining
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Please select the most appropriate membership type. Please note that each membership will be charged a $2.00 transaction fee. This is included in the membership cost.
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UNC Faculty
Faculty who are currently employed at the University of North Carolina at Chapel and are committed to supporting and furthering the mission and vision of the Carolina Black Caucus.
$
32.00
UNC Staff/Administrator
UNC staff/administrators who are currently employed at the University of North Carolina at Chapel and are committed to supporting and furthering the mission and vision of the Carolina Black Caucus.
$
32.00
Graduate Student/Professional/Post-Docs
Graduate/Professional/ students who are currently enrolled at the University of North Carolina at Chapel and are committed to supporting and promoting the mission and vision of the Carolina Black Caucus. The membership type is also open to Post Docs conducting research and training at the University.
$
22.00
Alumni (non-UNC employees)
UNC alumni who are not employed by the University who are committed to supporting and furthering the mission and vision of the Carolina Black Caucus
$
22.00
Facilities/Housekeeping Staff
The Caucus offers free membership to Carolina's housekeeping and facilities staff.
$
Free
Friends of the Caucus-(Non-voting membership)
Any individual affiliated or unaffiliated with the university who has a vested interest in supporting and promoting the mission and vision of CBC.
$
42.00
Would you like join a subcommittee? If so, please select committee(s) below.
Fundraising
Signature Events
Social Events
Nominations and Awards
Marketing
Membership
Advocacy
Please let us know what you desire to gain from and/or what you hope to accomplish as an active member of the Carolina Black Caucus.
Payment Methods
Debit or Credit Card
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