Youth Application – The Garland Club of the NANBPWC Inc.

The National Association of Negro Business and Professional Women's Clubs Inc.

1806 New Hampshire Ave. NW ◊ Washington, DC 20009-3206

Phone: 202-483-4206 ◊ Fax: 202-462-7253

E-mail: nanbpwc@aol.com ◊ Website: http://www.nanbpwc.org

“To promote the cultivation of future African American business and professional women and men; to assist youth in serving as leaders for their peers through positive fellowship and shared responsibility; to assist youth in understanding the relationship between leadership, education, communication skills, entrepreneurship, and technology to impact and improve the quality of life in our local and global communities.”

YOUTH AND BETA PSI DEPARTMENT MEMBERSHIP APPLICATION

Date:

Name (required)

Age (required)

Date of Birth

Home Address

City

State

Zip Code

Telephone

Email (required)

School

City (School)

School Year/Grade

Additional Information

Organizational Affiliations

Special Community Interests

Special Awards

Hobbies

Sponsorship Details

Sponsor

Applicant Signature

Parent Signature (if applicable)

Adult Club Youth Sponsor Signature

Beta Psi College Sponsor Signature

Governor Signature

National 2nd Vice President Signature

The National Association of Negro Business and Professional Women's Clubs Inc.

YOUTH AND BETA PSI DEPARTMENT MEMBERSHIP APPLICATION

Additional Information

Sponsorship Details

Get involved today!