The Collective Black  People Movement (CBPM) Membership Application
Page 2 - Your Skills Talents and Intelligence
Name:
8.  What special skills do you have that can benefit our people?
9.  Education:  List your High School, Trade School, College, University, and/or Military experience below
along with the location, subject(s) studied, and years attended.
Name of School
(H.S., Trade, college, Univ.)
City & State
Subject Studied
Years
Attended
1.
2.
3.
4.
10.  Work Experience:  List the areas of work that you are capable of doing for your people:
B.
C.
A.
11.  Do you have a Business or Organization?  If yes, list it (them) below, so that we can advertise your
business and organization to our people.  Please send us a business card or a flyer...
Name:
Type:
Website Address/Location:
State:
Phone #:
City:
a.
b.
c.
Please give a one sentence mission on your Business or Organization in the space below:
d.
If you would like to be a guest on our Nationwide Sunday Conference Call Check the box to the right.
Click Submit:
Page 3 - Where You Want To Be Involved?