NSBE-MP Membership Form

Name*

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Profession*

Planning events & programsSupporting youth outreach & scholarshipsHelping with socials & member engagementPromoting NSBE through media & communicationFundraising or finding community supportI’m open to helping wherever needed!I’m not sure yet, but I’m interested in learning more!

Networking with other Black STEM professionalsLeadership and professional development opportunitiesGiving back to the community through STEM outreachMentoring or being mentoredOther

If Other, Explain below

Renewal/Returning Member(Pay $50 Below)New NSBE-MP Member (FREE 1st Year)Learn More About NSBE-MP (PAY LATER)

YESNO (https://www.nsbe.org/membership/professional-membership)

Follow the link below for Renewal/Returning Member Payments:

NSBE Montgomery Membership Payment

Remember to submit your form after completing the Payment.

Local Membership Form