APPLICATION

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Thank you for your response. ✨

Name

Phone

Family Origin State

Last name

First Name

Date (YYYY-MM-DD)

Signature

Identity Certification I certify, under penalty of perjury where applicable by law, that the information I have provided in this application is true, accurate, and complete to the best of my knowledge.

Lineage Certification I certify that I am applying for membership in good faith and that I reasonably believe I meet the published Black American lineage eligibility criteria established by the Black American International Union (BAIU). I understand that knowingly providing false or misleading information may result in denial, suspension, or permanent revocation of membership.

Verification Authorization

Fraud Acknowledgment I understand that knowingly submitting false information or fraudulent documents may subject me to membership revocation and any civil or criminal remedies available under applicable law.

Electronic Communications Consent I consent to receive communications from BAIU by email, telephone, and SMS regarding my application, membership, verification, and organizational updates. I understand that I may opt out of non-essential communications at any time.

Terms and Privacy Agreement I acknowledge that I have read and agree to the BAIU Membership Terms, Privacy Policy, Verification Policy, and Lineage Eligibility Standards available on the BAIU website.

Electronic Signature By submitting this application electronically, I acknowledge that my electronic submission constitutes my legal signature and that it has the same force and effect as a handwritten signature to the extent permitted by applicable law.

Upon approval, you will receive a secure email and SMS link to enroll with an authorized third-party membership card provider. The provider utilizes enterprise-level security and identity verification technology to help safeguard your membership credentials and reduce the risk of fraud.. Once your identity has been verified, you will be issued an official Digital Membership ID and mailed a secure physical membership card. Your official BAIU Membership ID will serve as proof of membership for access to participating BAIU campuses, member services, exclusive discounts, and other benefits offered by BAIU and participating partners.