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New Member Application

Level
New Applicant (Free) Subscription period: Unlimited

Please complete all fields below.

1. Please detail your professional position here, for example, do you hold a significant ownership or executive level position with a high level of authority and responsibility in a private, volunteer or public sector organization?  Or do you currently hold elected public office?

2.
EWPB Membership requires a demonstrated commitment to community service through documented volunteer service with a community-based public service organization or program.  This service should be NON-WORK RELATED and encompass active roles in leadership, collaborative effort, individual achievement and/or special projects.  Please detail your community service efforts here with the following details:
Organization/Position
Service Dates
Contact Person/Telephone Number

3. Who is/are your Sponsoring member(s)? (required)

4. What EWPB event(s) have you attended? (required)

5. Why do you want to join EWPB?

6. Please provide your resume. You can copy and paste your resume in the box provided, or, send via email as an attachment to info@ewpb.org.


Fill in application form

Application form

* Mandatory fields
 

 

*First name
*Last name
Full Name
*Organization
*PrimaryEmail
*PrimaryPhone
*Password
 
 

Directory information

*Company
Title
Business Address
City
State
Zip
Business Phone
Business Fax
Email Address
Cell Phone
 

New Member Application

*1. Professional Position
*# of years at current position
*2. Community Service
*3. Sponsor
*4. Prior EWPB Events
*5. Why do you want to join EWPB?
*6. Resume

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EWPB
2300 Centrepark West Drive
West Palm Beach, Florida 33409
561-684-9117
info@ewpb.org