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Membership Application

WHY JOIN THE 100 BLACK MEN OF AMERICA?

By joining the 100 Black Men of America, you will become a member of the largest organization mentoring minority youth in the world. With nearly 200 chapters worldwide.

As a member of the 100 Black Men of America, you will assist us in helping our mentees prepare themselves for their future endeavors whether they choose to go to college or enter the job market. With your vast amount of experience, you are uniquely positioned to offer advice and guidance to the next generation.

Join us today and become a part of the solution!

Membership Application

    Prospective Member's Name:

    Home Address:

    Business Address:

    Contact Information:

    Employment Information:

    Commitment Pledge:
    I UNDERSTAND BECOMING A MEMBER REQUIRES DEDICATION, COMMITMENT AND THAT THIS NON-PROFIT ORGANIZATION HAS A RESPONSIBILITY TO THOSE IT SERVES. THEREFORE, I DO PLEDGE TO:

    Respect the confidentiality and privacy of those I serve
    Serve at least 3 hours a month (Any board approved activity)
    Attend at least (6) of the monthly meetings per year"
    Commit to at least one committee
    Pay the required annual membership dues"

    Prospective members must be sponsored/recommended by and existing member of the 100 Black Men. Please provide the name of the current member that is agreeing to sponsor/recommend you for membership:

    My typing your name below, you are signing this application and agreeing that all of the information submitted in factual: