BNI
In Person Meeting Application
Chapter Name
*
Name
*
First Name
Last Name
Role
*
Expected Date Chapter Will Start Meeting in Person
*
-
Month
-
Day
Year
Date
How Many Members Will Be Able to Meet In Person?
*
How Many Members Will Attend via Zoom?
*
Will Your Chapter Ensure Any Member Who Cannot Attend In Person the Ability to Attend via Zoom.
*
Yes
No
Is Your Leadership Team Willing to Take a Safety Training for BNI COVID-19 Preparedness Plan Procedures?
*
Yes
No
Is Your Leadership Team Willing to Take Accurate Attendance of Members and Visitors (If Contact Tracing is Required)
*
Yes
No
Is Your Leadership Team Willing to Notify the Regional Office if Any Member or Visitor Test Positive for COVID-19 or is Quarantined?
*
Yes
No
Is Your Leadership Team Willing to Ensure Every Member and Visitor Who Attends an In-Person Meeting has Signed a BNI Risk Acknowledgement Agreement?
*
Yes
No
Has Your Location Approved Your Return to In Person Meetings Once Government Guidelines Allow
*
Yes
No
Location Your Chapter Will Be Meeting
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Person at Location
*
First Name
Last Name
How Many People Can Your Location Accommodate with Social Distancing Implemented
*
Does the Location Have a Written COVID-19 Preparedness Plan
*
Yes
No
Upload Written COVID-19 Preparedness Plan Provided by Your Location
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If your location does not have a COVID- Preparedness Plan Please Provide Any Requirements of Your Location that Members will be Asked to Follow
What AV Capabilities Does Your Chapter Have Available
*
Projector
Screen
Speakers
Internet
Computer
Tablet (IPad or other)
Microphone
Is Your Leadership Team Willing to Comply and Ensure All Members and Visitors Comply with all Guidelines including but not limited to BNI, your Location and any Local, State and Federal Guidelines?
*
Yes
No
Does the Leadership Team Understand the Potential Liability from Members and Visitors if the Location, Local, State or Federal Guidelines are NOT followed?
*
Yes
No
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