URBAN UNDERGROUND  - NEW MEMBER APPLICATION
Urban
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Email *
First Name: *
Last Name: *
School: *
Current Grade Level: *
If you are currently not attending school select "Not enrolled"
Date of Birth: *
Age: *
Gender: *
Race/Ethnicity: *
Required
CONTACT INFO
Cell Phone Number:
Write the best number to reach you at. If you do not have a working phone number write N/A
Home Address: *
* Example: 1234 N. 12th Apt. 201, Milwaukee, WI 53200
Home Phone Number:
Write the best number to reach you at. If you do not have a working phone number write N/A
 Twitter Name:
If you do not have a Twitter account write N/A
Instaram
If you do not have a Twitter account write N/A
Facebook Name:
If you do not have a Facebook account write N/A
Email Address -  This email will be used to contact you for our virtual info sessions. *
If you do not have an email address or you can't remember it write N/A
Virtual Info Session Availability *
What issues do you care about? *
Required
What would you like to do for a career? *
Required
How did you hear about us? *
Required
Are you currently involved in any other programs/activities after school? *
Required
Is this your first time applying to join Urban Underground? *
If no to the previous question, when did you last apply?
If you were referred by someone please write their name below.
If you were not referred by someone please skip this question.
Are you free every Wednesday after-school from 3:00-5:00pm? *
What days after school are you available? (Check All That Apply) *
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