Bni Mn Mentor Program: 12 Months To Success Form Page 11

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BNI Membership Committee
BNI Member Review Form
To be done 90 days prior to renewal
MEMBER_____________________________DATE OF REVIEW_________________
1. Referrals given since last renewal date__________________________________
2. Referrals received since last renewal date________________________________
3. Number of visitors brought since last renewal date_________________________
4. Does member give a different and informative 60 second presentation each week?
YES
NO
5. Does member bring door prize when giving their spotlight presentation?
YES
NO
6. How many absences has member had since the beginning of the current leadership
team term? _______________________________________________
7. How many times has the member arrived late or left early? __________________
8. Does member actively participate in the chapter?
YES
NO
9. Does the member display a positive attitude?
YES
NO
10. Have there been any concerns expressed by other members regarding the quality
of referrals given by this member, unacceptable overlap in category or other issues?
YES
NO
Explain, if yes:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Membership Committee Recommendation:
_______Renewal
_______Renewal, with the following conditions:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_______Do not renew this member

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