Date:
Member Type:
Renewal
New Member |
Active Employee
Retiree
PERSONAL INFORMATION
Name:
MI:
Last name:
Male
Female
Address:
City:
State:
Zip code:
Phone #:
E-mail:
Birthday:
BUSINESS INFORMATION
Position:
Assoc/Mgmt:
Organization/Job:
Work Address:
City:
State:
Zip code:
Mail code:
Room/floor:
Building:
Phone #:
Fax:
E-mail:
How would you like to be contacted?
Home phone
Business phone
Business e-mail
Business Address
How did you hear about CITE?
CITE Member
Corporate Intranet
Supervisor
Other
MEMBERSHIP
Local Chapter: Annual membership dues for CITE local organizations are $35.
California
Maryland
New York
Texas
West Virginia
Florida
New England
North Carolina
Virginia
Indiana
New Jersey
PA/DE
Wash DC Metro
May we contact you with more information about different membership levels and additional CITE activities?
YES
NO
Please indicate which committees interest you:
Critical Issues
Membership
Scholarship
Professional Development
Programs
Nominations
Ways & Means
Other:
Community Relations
Public Relations
Inter-Organizational
Thank you for joining CITE, an officially recognized Verizon African-American employee resource group. We hope you enjoy and benefit from your experience with us. By submitting this application, you agree to become a member of the CITE organization. You agree to support the organization and abide by its by-laws. Members in good financial standing automatically are enrolled as members of the national CITE organization.
PLEDGE OF MEMBERSHIP
As a member, I commit to support CITE and its officers in upholding the high standards of the organization.