NSBE-MP Membership Form

Name*

First NameLast Name

Phone Number

Please enter a valid phone number.

Email*

example@example.com

Profession*

Which area(s) of involvement in NSBE Montgomery are you interested in exploring? (No pressure—just what sounds fun!)*

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!

What do you hope to gain or benefit from by joining NSBE Montgomery as a Professional member? (Select all that apply)*

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

If Other, Explain below

Membership Type (The NSBE membership year spans Aug. 1–July 31)*

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

Have you paid your National NSBE Membership Dues*

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