New Member Profile Form
Welcome to Parliamentarians of Bucks Count (PBC)! Please complete this form to provide the information requested below so we can learn more about you, and the skills and talents you bring to our unit.
About You
Please provide your contact information.
Name
*
First Name
Last Name
Are you a current member of the National Association of Parliamentarians (NAP)?
*
Please Select
Yes
No
NAP Member ID
*
Your ID can be found on your NAP Membership Card which can be downloaded from your NAP User Portal. https://nap.users.membersuite.com/home
What is your NAP Membership Type?
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Please Select
Regular Member (not credentialed)
RP (Registered Parliamentarian)
PRP (Professional Registered Parliamentarian)
RP-R (Registered Parliamentarian - Retired)
PRP-R (Professional Registered Parliamentarian - Retired)
Will Parliamentarians of Bucks Count (PBC) be your NAP Primary Unit?
*
Please Select
Yes
No
Indicate your National Association of Parliamentarians (NAP) Membership Unit Status.
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NAP Member-At-Large (I am not a member of any local unit)
NAP Member with a Primary Unit Designated (I will transfer my unit member to PBC)
Unknown / Other
Are you a Student? A full-time student shall be defined as an individual 25 years of age or less and who is currently enrolled full time in a college program, high school, or home school setting; or serving as active duty military.
*
Yes
No
Headshot
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Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Confirmation Email
example@example.com
Birthday - Month
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Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Birthday - Day
Please Select
1
2
3
4
5
6
7
8
9
10
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13
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15
16
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18
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Where did you hear about us?
A Friend or Colleague
Social Media
Blog Post
Google
Online Workshop Presented by PBC
NAP
Other
Skills and Talents
We want to know more about you! For each pair of descriptions, pick the one that best describes you:
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I'm more creative than organized
I'm more organized then creative
I like getting into the details, not the big picture
I'm a big picture person, not focused on details
I prefer to work on things as an individual contributor
I prefer to work on things as part of a team
I would describe myself as more of an introvert
I would describe myself as more of an extrovert
I am more of a go-with-the-flow perosn
I like to know exactly what to expect
What expertise and areas of interest can you bring to PBC in furtherance of its goals to engage and educate?
Please chose one or more standing committees that would benefit most from your areas of interest and experience.
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Credentialing
Education and Professional Development
Fundraising
Membership and Retention
Public Relation, Marketing and Social Media (Technology)
Social and Hospitality
Youth Outreach and Undergraduate Affairs
Please list any other deliberative assemblies (organizations) you are/have been a member of with positions/roles held. If you have previously served on any of the committees you selected above, let us know.
Deliberative assemblies are groups that meet to determine, in full and free discussion, courses of action to be taken in the name of the entire group. Examples include boards, Greek letter organizations, and professional membership organizations.
What else do you want us to know?
If there is anything you want to share that we didn't ask, please let us know here!
Please indicate your dues payment method. We will follow up with additional instructions to submit payment.
*
Credit Card via Zeffy
Check by Mail
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