YBPBS Membership Application

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We offer three types of membership for individuals and business owners:
YBPBS Fellowship: For individuals age 15-19 that are interested in professional development, entrepreneurship and mentorship.

YBPBS Membership: For individuals age 18-55 seeking to meet the goals of the YBPBS mission through mentorship and service; includes 1 membership and 1 YBPBS t-shirt.

YBPBS Partnership: For business owners seeking entrepreneurial mentorship and collaboration to support minority businesses; includes 1 membership, 1 YBPBS t-shirt, 1-year digital advertising and a business partnership certificate.

Email *

Name (First, Last) *

Business Name

Email Address *

Generation *

Age 15-19

Age 19-25

Age 25-55

How long have you lived or worked in Springfield? *

10+ years

5-10 years

5 years or less

Please select the areas that interest you (check all that apply) *

Neighborhood and Community Service

Entrepreneur Support and Networking

Culture and Education

Required

Which membership are you seeking? *

YBPBS Fellowship: For ages 15-19 ($0 Annually)

YBPBS Membership: For ages 18-55 ($20 Annually)

YBPBS Partnership: For businesses ($40 Annually)

Required

I understand that I will have to pay any required membership dues upon at my second members meeting. *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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