AAFSA Membership Application

Membership status *

Membership status New Membership Renewal Membership
Classification *

Classification Faculty Staff
Name Name * First Last
College/ Department/ Office *
Campus Mail Box# *
Campus Phone Campus Phone - ### - ### ####
UTA Email *
Birthday Birthday / MM / DD YYYY
Years/Months at UT Arlington
Please select the committee(s) which you would like to be involved:

Please select the committee(s) which you would like to be involved: Professional Development Membership and Public Relations Retention and Recruting Finance Alumni Affairs Faculty Affairs Student Awards and Recognition Website Development and Maintenance
Indicate the days and times that you would be available for AAFSA meetings or activities: