New Member* Information
please print (its only 1 page) and bring along with your membership due
First Name: ________________________ Last Name:________________________ M or F
Phone Number: ( ) E-mail: ______________________________________
School Year: 1 2 3 4+ Graduate
Major(s) and Minor(s): ___________________________________________
What days are you on campus? ____________________________________________
Would you be interested in holding a club position in the future (President, Vice President, Secretary, Treasurer, Historian)? YES NO MAYBE
How did you hear about CSULB’s Environmental Science &Policy Club?
Any additional information you would like to share with us?
Release of Liability
In consideration of my participation in any and/or all Environmental Science and Policy activities, I assume any and/or all responsibility in association with my participation in any and/or all activities. I release all liability from CSULB Environmental Science and Policy Club, and any and/or all liability associated with my participation including, but not limited to personal injury or property damage.
Signature: __________________________________________________ Date: __________
Looking forward to an awesome and fun semester together!
*membership is open to all matriculated students