BWOE Membership Application

Name:

Address:

City:

State:

Zip code:

Phone:

Date of Birth

Place of Birth

E-mail:

Would you like a free bwoe.org email account (first intial last name@bwoe.org)?

What is your field of employment?

Are you married?

Do you have children? If yes, how many and what age(s)?

Where can we find you online? (FACEBOOK, TWITTER, LINKEDIN) Whats your ID

WHY DO YOU WANT TO BE A MEMBER OF BWOE?

WHAT COULD BWOE DO IN YOUR COMMUNITY?

HOW WILL YOU HELP BWOE EXPAND IN YOUR COMMUNITY?

WHAT COMMUNITY SERVICE PROJECTS HAVE YOU PARTICIPATED IN?

AFFILIATIONS / CLUB MEMBERSHIPS: (What organizations are you a member

WHAT ARE YOUR HOBBIES, INTERESTS OR AREA OF EXPERTISE?

DO YOU FEEL THERE IS ENOUGH UNITY AMONGST WOMEN OF COLOR?

WHEN YOU LOOK IN THE MIRROR IF YOUR REFLECTION COULD SPEAK

WOULD YOU BE INTERESTED IN STARTING A LOCAL CHAPTER IN YOUR AREA (If there is not already one)

WOULD YOU BE WILLING TO ATTEND OUR ANNUAL NATIONAL CONFERENCE?

COMMUNITY SERVICE PROJECTS MAY INVOLVE WORKING WITH CHILDREN, IF NEEDED WOULD YOU CONSENT TO A CRIMINAL BACKGROUND CHECK?

HOW DID YOU HEAR ABOUT BWOE? / IS THERE ANYTHING ELSE YOU WOULD LIKE TO ADD WITH YOUR APPLICATION