Krewe of HBCUs

New Member Application

First name

Last name

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Costume size

Job Title

College Institution Name

Highest Degree Earned:

Academic Field or Professional Discipline

Any Professional Certifications

SELECT YOUR MEMBERSHIP LEVEL: Fee to be paid upon acceptance of application.

$500.00 - STUDENT MEMBER, Non-Rider

$975.00 - MEMBER, Non-Rider

$2,500.00 - METALLIC GOLD Member

$5,000.00 - EMERALD GREEN Member

$7,500.00 - ROYAL PURPLE Member

$10,000.00 - PLATINUM Charter Member

$35.00 Application processing fee is due now. Processing fee does not guarantee acceptance into Krewe of HBCUs. It is non-refundable and non-transferable.

New Member Application Fee$35

I AGREE to terms of the Indemnity-Disclosure Agreement