Membership Application
100 Black Men of Orange County, Inc.
APPLICATION FOR MEMBERSHIP
When you apply for membership, you will be asked to answer the following background questions. Providing accurate and complete background information about yourself is important. All of the information that you provide will be kept confidential.
HOME * - ADDRESS
EMPLOYER * ADDRESS
EDUCATION BACKGROUND *
List the Name, Address and Telephone Number of THREE references
1) Please express why you wish to become a member of the 100 Black Men of Orange County. Please be as detailed as possible.
2 ) Availability and commitment are important aspects of being a member of the 100 Black Men of Orange County. On a monthly basis, how many hours can you commit to the organization? Are you available on Saturdays?
Please enter the name of the current 100BMOC member sponsoring your application
Multiple Selections are Acceptable
I, (100BMOC membership applicant), warrant the truthfulness of the information provided in this application.
Please type your First and Last Name
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