business and information technologies department phi beta...
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Business and Information Technologies Department Phi Beta Lambda
Membership Application
First Name: ______________________________________ Last Name: _________
Preferred Name: Gender: ________Male ________Female
Date of Birth: _____/______/________ Phone Number: (___________)_____________- ___________________
Email: Home Town: _________
Expected Year of Graduation: Classification: ________
Major: GPA Range: ______2.5 ______3.0 ______3.5 _____Above 3.5
Career Goal(s)/Interest(s): _________ Were you a FBLA member in high school? ______Yes ______ No
Are you a returning member? ______Yes ______No Recruited by: _________
How did you hear about us? _________
Place of Employment __________________________________________________________________________________________________
By completing this form, I certify the following: I have met all eligibility requirements for Phi Beta Lambda, and have been extended an invitation for membership in my local chapter. I believe in and support the purpose of the organization as stated in the Phi Beta Lambda constitution, adhere to the moral standards of the organization, and currently enjoy the full rights of citizenship, freedom, and privileges of my country. Therefore I do solemnly promise to uphold the standards of Phi Beta Lambda, and to make this object and aim foremost in my mind, and I do solemnly pledge allegiance to my fellow members and promise to aid them in all worthy endeavors.
Signature _____________________________________________________________________ Date ___________________________________
Annual Lump Sum: $34 Payment Plan: $17 (Payment1) $17 (Payment 2)
Make checks payable to: Future Business Leaders of America Cash /Check# __________
Membership Dues
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