Affiliate Group Questionnaire

"*" indicates required fields

Affiliation Group Name*

Affiliation Group Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Affiliation Website

Affiliation Representative*

Affiliation Representative Title*

Affiliation Representative Phone*

Affiliation Representative Email*

List 10 Member Chapters (committed to established Affiliation) – HBCU & Representative:

Why are you interested in joining the National HBCU Alumni Alliance, Inc. (NHBCUAA)?*

Describe any unique qualities, contributions, special skills of your organization and how they will advance the efforts of the NHBCUAA.*

Describe the planned methods that will be used to generate funding to operate your organization and to host all community-based events (e.g., grants, loans, fundraising, etc.).*

If approved to join the NHBCUAA, briefly describe what you’d plan to accomplish within the first year as a new Affiliate.*

What is your organization’s projected annual operating budget and net worth?*

Is your organization and member chapters in good standing with the IRS, respective HBCUs, law enforcement, and with no open/pending litigations/lawsuits?*

Yes

Other

This field is for validation purposes and should be left unchanged.

Affiliate Group Questionnaire

National HBCU
Alumni Alliance

Follow Us on:

Our mission is to serve through:

National HBCU
Alumni Alliance

Follow Us on:

Our mission is to serve through:

Menu

Follow Us on:

National HBCU
Alumni Alliance

Follow Us on:

Affiliate Group Questionnaire

National HBCUAlumni Alliance

Follow Us on:

Our mission is to serve through:

National HBCUAlumni Alliance

Follow Us on:

Our mission is to serve through:

Menu

Follow Us on:

National HBCUAlumni Alliance

Follow Us on:

National HBCU
Alumni Alliance

National HBCU
Alumni Alliance

National HBCU
Alumni Alliance