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Member Application
Please fill out the form below or download the application (
PDF
or
MS Word
) and send to
membership@core-nyc.org
.
New Application
Application Renewal
By filling out the application below you are taking the first step in becoming a core member. Sign up for an Orientation Session to complete the process and to activate your membership benefits.
*
First Name
Middle Initial
*
Last Name
Prefered Name (i.e. Nickname)
Primary Contact Information
*
Street 1
Street 2
*
City
State
Zip
*
Phone
Mobile
*
Email
*
Re-enter Email
Demographic Information (optional)
Gender
Female
Male
Marital Status
Single
Married
Citizenship
US
Philippines
Other
Date of Birth
(mm/dd/yyyy)
Industry
Law
Non-profit
Undergraduate Studies
Marketing
Engineering
Finance
Education
Media/Journalism
Biotechnology
Architecture
IT Services
Government
Healthcare
Arts/Design
Other
Consulting
Manufacturing
Graduate Studies
Retail
If Other was selected please enter your industry:
Employer Information
Company
Title/Position
Street 1
Street 2
City
State
Zip
Educational Background
Most recent/current academic degree please select one:
H.S.
A.A.
B.S./B.A.
M.S./M.A.
M.D.
J.D.
Ph.D.
Undergraduate School
Major
Graduate School
Major
Please Help Us Better Serve You & Other Members
Which of the following networking sites do you have an account?
Facebook
MySpace
MeetUp
Plaxo
LinkedIn
Friendster
Other
I would like to receive general Filipino community information through the FYP-NYC (Filipino Young Professionals-NYC) listserv.
Which of the following CORE programs or services interest you?
READ Program
Speaker Series
ESB Lighting
Networking Mixers
Professional Development
Community Partnerships & Outreach
Marketing and Fundraising
Educational/Cultural Workshops
Other
I was referred by:
Annual Membership Levels
We are currently evaluating the inclusion of annual membership fees. If you were required to pay for membership, what level would you purchase? Please click on each level for more information and select the membership level that interests you most.
Full Membership ($$$$)
Regular Membership ($$$)
Associate Membership ($$)
Student Membership ($)
Trial Membership
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