New Chapter Charter Form

New Chapter Charter Form

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 the full name of your chapter*
(please ensure that the name provided is the exact spelling of the chapter as is notated within the NSBE database/how the name is spelled on your NSBE profile; there can be no variation)
Please select your chapter type.*

NSBE Jr.CollegiateProfessional
What age group do you intend on working with? Please choose all that apply*

Elementary SchoolMiddle SchoolHigh SchoolUndergradPost-grad
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. Please fill out the background check application request form for your background check request to begin processing.

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.
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 Phone Number*

Country CodeArea CodePhone Number
Chapter Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What Region is your chapter located in?*

Region 1 (CT, MA, ME, NJ, NY, RI, VT, East Canada, West Africa)Region 2 (DC, DE, MD, NC, PA, SC, VA, WV, Europe, North Africa, Middle East)Region 3 (AL, FL, GA, KY, MS, TN, Caribbean, South America)Region 4 (IL, IN, MI, MN, OH, WI, Central Canada, Central Africa, East Africa)Region 5 (AR, IA, KS, LA, MO, ND, NE, OK, SD, TX, Central America, Mexico, South Africa, Dominican Republic)Region 6 (AK, AZ, CA, CO, HI, NM, NV, OR, MT, UT, WA, WY, West Canada, Baja Mexico, Asia, Australia, South Pacific)
If your chapter has a website, please provide the url here (if not, please type N/A):
Advisor or President *

AdvisorPresident
Advisor or President Name*

First NameLast Name
Advisor or President Phone Number*

Country CodeArea CodePhone Number
Advisor or President Email*
example@example.com
Should be Empty: