Who Are We?
Media & Events
Gallery
Resources
Get Involved
Membership
Donate
Contact Us
Donate
Who Are We?
Media & Events
Gallery
Resources
Get Involved
Membership
Donate
Contact Us
Donate
Get Involved
Membership
Donate
Membership Application
Schomburg Corporation Sponsor
if applicable
First Name
Last Name
You are a:
*
New Member
Returning Member
Salutation
Dr.
Mr.
Ms.
Mrs.
Professor
Other
Name
*
First Name
Last Name
Email Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
*
(###)
###
####
Alternate Phone
(###)
###
####
Date of Birth
MM
DD
YYYY
Emergency Contact - Name:
First Name
Last Name
Emergency Contact - Relationship:
Emergency Contact - Phone:
(###)
###
####
Why are you interested in joining the Schomburg Corporation?
*
Are you willing to serve on a committee?
*
Yes
No
If Yes, which one?
Acquisition
By Laws
Finance/Fundraising
Genealogy
Kwanzaa
Technology
Government Advocacy
Membership/Good & Welfare
Public Affairs/Speakers Bureau
Describe your interestes/hobbies or attach your resume or a biography.
Thank you for your submission! We'll be in touch!