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*Early Bird fees must be paid by February 22nd, 2016. Late fees are applied within 4 weeks of conference.
CWID
First Name Last Name
Street Address
City State Zip Code
Phone Email
Birthday Major/Concentration
Year ________________________ Expected Graduation
Shirt Size: ______________________ I am a: New Member Returning Member
I am interested in attending:
Yes State Business Leadership Conference(SBLC)
Regular $60 Late* $70
FOR OFFICE USE ONLY
Method of Payment Date Receipt NumberCash Check
Check Number Officer Name
Future Business Leaders of America- Phi Beta Lambda
No
I am interested in the following committees/leadership opportunities:(Committee meetings are every other week and the times are below for each committee)
Yes No
Yes No
Semester Membership Early Bird* $50
NoI am interested in the Mentor/Mentee Program (If yes, please fill out the back page)
I would like to be added to the CSUF PBL Group Text Message(GroupMe)
Special Events & Fundraising Marketing Community Service Competitive Events
Yes
I would like to be added to the CSUF PBL Facebook Members Page
*SBLC provides many opportunities such as workshop, networking, and competitions*
Please type your responses into the editable text fields, print, and submit this form to an officer member.You can also submit the form electronically to [email protected] but the payment must be in person.
(Monday 2:30pm) (Tuesday 4pm) (Wednesday 4pm) (Tuesday 5pm)
1.Please briefly explain what aspects you want to gain from CSUF PBL.
3.Please pick your top 3 choices for a mentor(officer) and rank them .You can check out the officer's profile by going to the link below.http://csufpbl.com/2015-2016-officer-team/
1.
Mentor/Mentee Program Application
2.Please check off your hobbies/interests from the following choices.
SportsFitnessMusicMovie and TheaterArts and CraftsPhotographyVideo gamesReadingOther:
2.
3.
The mentor/mentee program is a optional program, which allows you to be matched up with a officer. The officer can help you get the most out of PBL. This program will be only for new CSUF PBL members. Please fill out this form, so we can match you up with a mentor. If you have any questions, please feel free to contact Kentaro Ueda, VP of Membership and Communications, at [email protected].
