Affinity Group Interest Form
Share your details to express interest in joining our affinity group. This helps us understand your background and preferences.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Organization or Department
*
Role or Title
*
Areas of Interest
*
Professional Development
Networking
Community Service
Social Events
Mentorship
Other
Preferred Method(s) of Engagement
*
In-person Meetings
Virtual Events
Email Updates
Online Community
Other
Availability for Group Activities
*
Weekdays (Daytime)
Weekdays (Evening)
Weekends
Flexible
Have you participated in similar groups before?
Yes
No
What do you hope to gain from joining this affinity group?
*
Additional Comments or Suggestions
Submit Interest
Should be Empty: