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University Club of Denver Application for Membership
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* Required
Email
*
Your email
Member Information
Full Name
*
Your answer
Maiden Name (if listed on your college degree; to be used for degree verification)
Your answer
Telephone
*
Your answer
Home Address
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Membership Application Information
Which category of membership are you applying for?
*
Junior Member (Age under 30)
Intermediate Member (Age 30-34)
Resident Member (Age 35+)
Non-Denver Resident Member (Lives outside of Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas or Jefferson County)
Non-Colorado Resident Member (Lives outside the State of Colorado)
Why do you want to join the University Club of Denver?
Your answer
Graduation Information
To be admitted to the University Club, you must have at least completed a Bachelor's Degree.
Completed degree #1
*
Your answer
Year completed, degree #1
*
Your answer
University from which you earned Degree #1?
*
Your answer
Degree #2, if applicable (include degree, university and year earned)
Your answer
Degree #3, if applicable. (Include degree, university and year earned)
Your answer
Career Information
Occupation & Title
*
Your answer
Business Name
Your answer
Business Address
Your answer
Family Information
Spouse's Name (if applicable)
Your answer
Spouse's Birthday (if applicable)
MM
/
DD
/
YYYY
Children's name(s) and birthday(s) (if applicable
Your answer
Sponsors
Sponsor #1 Name
*
Your answer
Seconder #1 Name
*
Your answer
Seconder #2 Name
*
Your answer
Is there anything else the Admissions & Membership Committee should know about you, or about your application?
Your answer
A copy of your responses will be emailed to the address you provided.
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