SCORE Meadville Branch SCORE-Erie
Preliminary Application for Membership
The SCORE Association
"Counselors to America's Small Business"
 
Name:

Social Security Number:

Street Address:

Spouse's Name (optional):

City:   Home Phone:  
State:   Email:  
 Zip Code: Fax:  

Briefly describe your professional business experience:

Are you currently working?     Yes    No 
If 'Yes', Full-Time or Part-Time?   Full-Time
  Part-Time

What caused you to express interest in SCORE?

After submittal of this form, we will be in contact with you for an interview. A full membership application will be completed at that time.


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