First Name

Nickname

Home Phone

Cell or Work Phone

Email

Birthday

Classification
Senior Junior Sophomore Freshman

Areas of Concentration:

Are you interested in running as an officer?(Check all that apply)
President Vice President Secretary Treasurer

What times are you most available to participate outside of our regular meeting time?

Will you be willing to serve on a committee or volunteer your time to the various projects that our organization undertakes?
Yes
No

So that we better serve our membership, we would like to know the following:

What are your career goals?

Do you have ideas for making this organization more beneficial to you and your fellow students?

Membership dues are $10 Fall & Spring!