Membership Application

African American Community Roundtable of Howard County - Membership Application

First name

Last name

Organization Background

Organization

Organization Address

Organization Description

Website

What is your current membership count?

President's Name

President's Phone

President's Email

Vice President's Name

Vice President's Phone

Vice President's Email

Point of Contact for your Organization

What is the name and contact information of the organization's primary representative for all AACR communications (name, title, email address, and phone number)?

Organization Contact

Title

Phone

Tell us about your organization

How did you learn about the AACR of Howard County?

In what ways can your organization collaborate with AACR to advance our shared mission of supporting the African American community in Howard County?

To better understand where we can be most supportive, can you share your organization's signature event(s) and anticipated date(s)? This will help us identify opportunities to align resources, promotion, or participation where it adds the most value.

Once membership is granted, can you provide us with your calendar of events?

Is there any additional information you'd like to share?