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OPC AISES Membership Form
Oklahoma Professional Chapter of American Indian Science and Engineering Society (OPC AISES)
Email address *
First Name *
Last Name *
Name of Nation - Federally-recognized Tribal Citizenship *
Other Tribes - Descendant from other Federally-recognized Tribal Nations
STEM Bachelors Degree & College *
Masters Degree & College
Other Degree(s) & College(s)
Mailing Address - Line 1 *
Mailing Address - Line 2
City *
State *
Zip Code *
Cell Phone Number *
Email Address *
A copy of your responses will be emailed to the address you provided.
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