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English (US)
Committee Member Application
This application will be reviewed by the Committee Chair and WBEC President. Please expect to receive a response within the next two weeks.
Today's Date
*
-
Month
-
Day
Year
Date
Name:
*
First Name
Middle Name
Last Name
Title:
*
Company:
*
Company Location:
*
PA
DE
sNJ
Industry:
*
Email:
*
example@example.com
Business Phone Number:
*
xxx-xxx-xxxx
Cell Phone Number:
xxx-xxx-xxxx
Role related to WBEC:
*
Council Member
WBE
Resource Partner
Number of Years in Business
N/A
1–5
6–10
10+
Number of Years WBENC Certified:
N/A
1–5
6–10
10+
Please review the “Overview of Committees & Opportunities” prior to continuing this application.
Committee(s) Interested in joining:
*
Awards & Recognition
Appeals
Certification – File Reviewer and Site Visitor
Certification – File Reviewer
Certification – Site Visitor
Conference
Envoys (Please note there is an additional application process for Envoys)
Programs
Next Gen
Women of Color
Approximate time commitment you can make per month:
*
hrs or days
Please describe reason why you are interested in joining the Committee(s):
*
Please describe the specific skill set or resources you will bring to the Committee(s):
*
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