Spectra membership form

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Please fill this form out if you'd like to become a member of the Northwestern chapter of Spectra. Any information you provide will be kept confidential to the Northwestern chapter officers; your name, email, and student status will also be shared with the national Spectra membership chair.

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Name
*

Your answer

Pronouns

Your answer

Email
*

Your answer

Student status
*

Undergrad

Grad student

Other:

If you are an undergrad, are you interested in a leadership position?

Yes

No

Maybe

Clear selection

Is there anything else that you would like for us to know?

Your answer

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