Student Union Membership Form
Please fill out the form to become a member of the Student Union.
Full Name
*
First Name
Last Name
Student ID Number
*
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
University / College Name
Campus
Please Select
Main Campus
North Campus
South Campus
West Campus
Enrollment Status
Full-time
Part-time
Membership Application Type
New
Renewal
Degree Program
*
Please Select
Undergraduate
Graduate
PhD
Other
Year of Study
*
Please Select
1
2
3
4
5+
Are you interested in any specific committees or activities?
Submit
Should be Empty: