Chapter Charter Petition Sheet

Chapter Charter/Recharter Application

Thank you for your commitment to starting a chapter. Please fill out this petition request and it will be processed within 15 business days.
Please list thefull name of your chapter*
Click HERE to download NSBE's standard Constitution
Please select your chapter type*

NSBE Jr.CollegiateProfessional
As we continue our efforts to maintain the highest standards for our NSBE Jr. program and members, NSBE has implemented a mandatory background screening process which is required of all Advisors or other NSBE Jr. volunteers for relevant convictions for all child-related offenses, violent felonies, sexual offenses, and financial crimes.

The fee for screening is $15 for U.S. background screening, which is nonrefundable. Pricing for information screening can be found within the background check application.

We cannot approve an application until a background screening has been completed. If you have already completed a NSBE background check, please send an email to membership@nsbe.org.
What age group do you intend on working with? Please choose all that apply*

Elementary SchoolMiddle SchoolHigh SchoolUndergradPost-grad
Phone Number*

Country CodeArea CodePhone Number
Chapter Email*
All official communication will be sent to this address. We recommend creating an account specifically for chapter emails. Please do not use a temporary (e.g. school or work) account.
Chapter Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Chapter Website
Advisor Name*

First NameLast Name
Advisor Phone Number*

Area CodePhone Number
Advisor Email*
example@example.com
Advisor Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please note you need 5 members to have an active NSBE Jr. Chapter and

10 members to have an active Collegiate and Professional Chapter.
Does your chapter meet the minimum requirement for membership? If your chapter does not meet the requirements please follow the steps at the end of the application.

YesNo

Please list your chapter officers below. (NSBE Jr chapters should put "N/A" for Senator/Delegate) "Collegiate and NSBE JR. chapters are required to have at least one chapter advisor.

	Student Name	NSBE ID	Email
President
Vice President
Secretary
Treasurer
Programs Chair
Senator/Delegate 1
General Member 1
General Member 2
General Member 3
General Member 4

Click HERE to download NSBE's standard Constitution
Please upload your chapter constitution*

Browse Files

Cancelof
If you do not meet the critiera to be considered an active chapter, please email nebmembership@nsbe.org to submit a formal chapter charter reactivate/exception request. Please see an example request below:

Request Example:

This is a formal request to be granted an exception to be recognized as an active chapter within the National Society of Black Engineers. We understand that we do not meet the criteria as stated in the bylaws, but are still dedicated to the mission. (List the missing criteria)We look forward to hearing your response and if you have any more questions please let us know.
Other Information
How did you hear about us?

Social MediaReferralPrint AdvertisementOutreach Event
Which outreach event did you attend?
Additional Comments
Is there a community college in your area?

YesNo
Please list the name and city of the community college
Should be Empty:

Chapter Charter/Recharter Application

Other Information