Chapter Charter Petition Sheet

Chapter Charter Application

Thank you for your commitment to starting a chapter. Please fill out this petition request and it will be processed within 15 business days.
Please list the name of your chapter *
Are you reactivating your chapter? *

Yes No
Please select your chapter type *

NSBE Jr. Collegiate Professional
As we continue our efforts to maintain the highest standards for our NSBE Jr. program and members, NSBE has implemented a mandatory background screening process which is required of all Advisors or other NSBE Jr. volunteers for relevant convictions for all child-related offenses, violent felonies, sexual offenses, and financial crimes.

The fee for screening is $15 for U.S. background screening, which is nonrefundable. Pricing for information screening can be found within the background check application.

We cannot approve an application until a background screening has been completed. If you have already completed a NSBE background check, please send an email to membership@nsbe.org.
What age group do you intend on working with? Please choose all that apply *

Elementary School Middle School High School Undergrad Post-grad
Phone Number *

Country Code Area Code Phone Number
Chapter Email *
All official communication will be sent to this address. We recommend creating an account specifically for chapter emails. Please do not use a temporary (e.g. school or work) account.
Chapter Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Chapter Website
Advisor Name *

First Name Last Name
Advisor Phone Number *

Area Code Phone Number
Advisor Email *
example@example.com
Advisor Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please note you need 5 members to have an active NSBE Jr. Chapter and

10 members to have an active Collegiate and Professional Chapter.

Please list your chapter officers (in order to

	Student Name	NSBE ID	Email
President
Vice President
Secretary
Treasurer
Programs Chair
Senator
Professional Delegate

Other Information
How did you hear about us?

Social Media Referral Print Advertisement Outreach Event
Which outreach event did you attend?
Additional Comments
Is there a community college in your area?

Yes No
Please list the name and city of the community college
Click Here to download sample Constitution
Please upload your chapter constituion *

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Chapter Charter Application

Other Information