Membership » Membership Form

Membership Form

CONFIDENTIALITY STATEMENT: Information provided to YPN through the membership application will be treated as strictly confidential. It will not be distributed or sold to any third parties without the agreed consent of the member. (*) – indicates information included in the membership directory.

Step 1: Personal Information
Application Type:
New Membership
Membership Renewal
First Name:
Last Name:
Primary Email:
Secondary Email:
Address 1:
Address 2:
City:
State:
Zip:
Home Phone:
Work Phone:
Date of Birth (mmddyy):
Hometown:
Gender:
Female
Male
Step 2: Professional Information
Industry (choose one):
Accounting/Financial Services
Advertising/PR/Communications
Architecture/Interior Design
Arts/Entertainment/Publishing
Association
Construction/Facilities
Education/Training
Engineering
Entrepreneurial/Start-up
Government
HealthCare/Pharmaceutical/ Biotech
Hospitality/Travel
Human Resources
Insurance
Law Enforcement/Security
Legal
Management Consulting
Manufacturing/Operations
Marketing/Communications
Non-Profit/Volunteer
Real Estate
Restaurant/Food Service
Retail/Sales/Service
Technology
Transportation/Logistics
Other (please specify)
Organization:
Job Title:
Job Function (choose one):
Accounting
Finance
Human Resources
Information Technology
Legal
Marketing
Operations
Sales
Other (please specify)
Gross Annual Income (select one):
Less than $25,000
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100K or more
Highest Level of Education (select one):
High School Graduate
Trade or Vocational School
Associates Degree
BA or BS Degree
Post Graduate
Other (please specify)
Step 3: Additional Information
Directory:

Do you want your information included in the Member Directory?

Yes
No
How did you hear about us? (check all that apply):
Word of Mouth
Flyer
Website
YPN Member (enter name):
YPN Event (name the event):
As a member of YPN, I am interested in the following committee(s). (check all that apply)
Civic Engagement
Community Service
Finance
Marketing & Public Relations
Membership
Personal & Professional Development
Other Professional Organizations:

If you are a member of any other professional organizations, please enter them below:

Step 4: Payment

Annual membership dues, which include membership in both the YP chapter and the Las Vegas-Clark County Urban League are $100. Dues are renewable upon expiration of membership. To join or renew membership, please make a check payable to the Las Vegas-Clark County Urban League Young Professionals and mail your payment with your membership application to 1350 E. Flamingo Rd. #436 Las Vegas, NV 89119 or submit at any YP Event or General Body Meeting. General meetings are held the third Tuesday of every month with 6:15 p.m. Networking; 6:30 p.m. Meeting. Meetings are exactly one hour.

For information about Corporate or Business Membership Levels, please contact the chapter at tflanagan@ulyp-lvcc.org.

Step 5: Submit Application

Please review your application to ensure its accuracy. If all of your information is correct, click the button below to submit your membership application.