National Black MBA Association Membership:

Please Read Before You Begin!
Graduate students: please secure an electronic copy of proof of current enrollment and submit it upon completion of your application. You may email it to studentverification@nbmbaa.org or fax it to (312) 580-8701.

Submit one of the following documents:

Letter from Registrar
Tuition Bill
Current Class Schedule

* We must receive this information to finalize membership.

Your Contact Information

Salutation :
*First Name :
Middle Initial :
*Last Name :
Suffix :
Job Title :
Nickname :
*Primary Address :
Primary Address 2 :
Primary Address 3 :
*City :
State or Province :
Zip or Postal Code :
Primary Address Country :
*Primary Phone :
Work Phone :
Mobile Phone :
Website :

Your Company Information

Are you Currently Employed :	YesNo
Company Name :
City :
State :

Tell Us About Yourself

*Gender :

MaleFemale

*Ethnicity :

African/African American
Asian/Asian American
Caucasian/Euro American
Hispanic/Latin American
Indigenous/Native American
Other

*Age Range :

21-2526-3031-35
36-4041-4546-50
Over 50Under 21

*Are you currently a student ?

Yes, Enrolled in Grad Program
Yes, Not Enrolled in Grad Program
No

*Highest Degree Earned :

BS/BAMastersMBAPHDJD

*Years of Work Experience :

0-2 Years3-5 Years6-10 Years
11-14 Years15 or More

*Industry :

Other Industry, Please Specify :

*Primary Job Function :

Other Job Function, Please Specify :

Graduate School Information

Graduate School Name :

School City :

State or Province :

Graduate School Country :

Did you graduate ?

Graduate Degree :

Concentration :

Graduation Year :

Undergraduate School Information

Undergraduate School Name :

School City :

State or Province :

Undergraduate School Country :

Did you graduate ?

Undergraduate Degree :

Major :

Graduation Year :

How did you hear about NBMBAA?

Advertisement
Referring Member's Name:
Chapter Program
National Event
Conference
Website
Other Source Description:

Communications Preferences

Send me email
Publish my information on the NBMBAA Directory
Send me Black MBA Magazine
Send Black Enterprise Magazine (Full & Associate Members)
Send BusinessWeek (Full & Associate Members)
Send me E-Mails about Volunteer Opportunities

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