BSU Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

BSU Registration Form

Please register to become a general member of the Black Student Union.

Sign in to Google to save your progress. Learn more

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Year in School *

Your answer

Phone Number

Your answer

Email *

preferred (MyMillikin)

Your answer

Shirt Size *

S

L

M

XL

XXL

Millikin Identification Number *

Skip the zeros eg. "123456"

Your answer

Submit

Page 1 of 1

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy