JOIN NOW! Please enable JavaScript in your browser to complete this form.Name *FirstLastEmployee ID *Membership Qualification *Non-Bargaining unit employeeBargaining unit employees and contractors are not eligible in accordance with the NMA-BCBSM Leadership Development Association Chapter Constitution and Bylaws.Department/Division *Date Hired (MM/DD/YYYY) *Email Address *Business PhoneOrganization *BCBSMBCNEmerging MarketsMembership Type *First Time MemberReturning MemberRetireePayroll Authorization *Payroll deduction is authorizedI hereby authorize the BCBSM payroll department to deduct the one-time $20.00 application fee plus $4.10 each month from my monthly salary and remit that amount to the NMA-BCBSM Leadership Development Association for payment of dues. This authorization will continue until cancelled in writing by the member to the Membership committee chairperson. I also agree to abide by the association's constitution and bylaws while a member of this organizationInterested in joining the committees? *Awards & RecognitioneBusinessR1 ReportingPublic Relations - BlueprintCommunity InvolvementManagement WeekMembership Recruitment & RelationsProgram AdministrationMeeting PlanningLeadership Speech ContestMeeting SupportProfessional Development Continuing EducationCertified Manager Finance - AccountingFinance - Fundraising Finance - BudgetFinance - Enrollment Please check at least three committees that you are interested in serving onReferring MemberFirstLastHow did you learn about NMA?WebsiteSUBMIT NOW
