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Home
About
Mission
BlackSIM
New Member Survey
Black Owned Banks
Savings Challenge
Resources
The Black Pillars: Black Agenda Initiative
Black 365
Crashing the Polls - 2015
Free Your PC
Independent Research
>
Influential Leaders
Must Read Books
Society Creation Studies
Making a Budget
Must Have Apps
Preparing a Will
Reviewing Your Credit Report
Writing a Resume
News/Blog
Justice or Else
Souls of Our Ancestors: Huey Newton
Souls of Our Ancestors: Marcus Garvey
Contact Us
Black Empowerment and Achievement Movement (BEAM)
New Members - Survey
Personal Information
*
Indicates required field
Name
*
First
Last
Month of Birth
*
January
February
March
April
May
June
July
August
September
October
November
December
Select Month of Birth
Day of Birth
*
Year of Birth
*
Email Address (preferably gmail)
*
Gender
*
Male
Female
Other
Facebook
*
Twitter
*
Instagram
*
City
*
State
*
Country
*
Are you of African Descent?
*
Yes
No
How did you hear about us?
*
Facebook
Twitter
instagram
Other BEAM Members
Friend/Family
Other
Refers Member Name?
*
Other?
*
Additional Information
Why do you want to join BEAM?
*
Are you aware of the purpose of BEAM?
*
Do you have any ideas or goals you would like to see pursued?
*
What issue is most important to you within the "black community?"
*
What do you plan to get out of being a part of BEAM?
*
What projects and/or ventures would you like to see accomplished through the collective efforts of BEAM?
*
Do you have any special talents, hobbies or interest that you feel might be useful to the overall advancement of BEAM?
*
Do you have any degrees, certificates, or diplomas that make you skilled in a certain area that could be useful to BEAM?
*
Are there any other Unifying African descent based organizations that you think that BEAM may benefit from collaborate with?
*
Do you have any recommendations or concerns about the organization so far?
*
Do you have any questions, comments and concerns in general?
*
Submit
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