Membership

MLK Commission Membership

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Current Employer

Organization(s)

List any organizations that you're a part of and what position(s) you've held.

Level of Education

What school or institution did you attend?

Religious Affiliation

What religion, if any, do you align with?

Why do you want to become a member of the MLK, Jr. Commission?(Required)

What will you contribute to this organization?(Required)