SEACBEC - Southeast Arkansas Community Based Education Center

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If you want to be a member of SEACBEC’s SkillsUSA, complete this form and bring $15 to Mrs. Gwen Sledge. Your membership will not be active until the $15 has been paid.

SkillsUSA Membeship Form

First Name

Last Name

Reaquired field: Mailing Address

Address

City

State / Province / Region

Zipcode Min: 1 Max: 5

Country

Birthday

Graduation Year

Phone Number

If you want to run for a SEACBEC Skills Officer position, check the box. This is not a requirement.

President

Vice President

Treasurer

Secretary

Parlimentarian

Reporter

Email a copy to

optional

Required Fields

Skills Membership Form