Committee Member Application Please fill in your information below to select 2 committees that you have interest in working on. Fields marked with an asterisk (*) are required. Brother Name* First Middle Last Suffix Chapter Location* Current Chapter* Control Number* Email* Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Evening Phone*State Committees*Select the 1st committee you would like to work on.ScholarshipTalent HuntSocial ActionLife MembershipHistory & Archives / Afro American LifeMembership Reclamation & RetentionRules / Recommendations / PoliciesAssault on IlliteracyNAACP / College Endowment FundMilitary AffairsState TagCorporate Sponsorship / Economic DevelopmentConflict ResolutionTechnology / WebmasterFood DriveGovernment Relations / VREMProtocolHealth InitiativeTime & PlaceCommunity & Civic AffairsFatherhood / MentoringRationale / Reason*Describe why you would like to work on this committeeState Committees*Select the 2nd committee you would like to work on.ScholarshipTalent HuntFatherhood / MentoringSocial ActionLife MembershipHistory & Archives / Afro American LifeMembership Reclamation & RetentionRules / Recommendations / PoliciesAssault on IlliteracyNAACP / College Endowment FundMilitary AffairsState TagCorporate Sponsorship / Economic DevelopmentConflict ResolutionTechnology / WebmasterFood DriveGovernment Relations / VREMProtocolHealth InitiativeTime & PlaceCommunity & Civic AffairsRationale / Reason*Describe why you would like to work on this committee
