Cornell University AWIS Membership Form

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

The Association for Women in Science supports a global network of like-minded women and allies committed to advancing women in science, technology, engineering, and math. As an institutional partner, Cornell University is pleased to offer our students, faculty, and staff the ability to become AWIS members.

Prefix

First Name *

Middle Name

Last Name *

Email Address *

Cornell NetID *

Position/Student Type *

Undergraduate Student

Graduate Student

Master's Student

Doctoral Student

Professional Student

Postdoc

Staff

Faculty

Anticipated Graduation Date

Current Field of STEM

Current Field of STEM (specify if needed)

Membership Directory - Opt-Out *

With the Membership Directory you can, network with members in your area or local chapter, connect with other members looking for mentorships, seek assistance or collaborate, and expand your professional network with members in your field of study! We encourage all of our members to interact with each other and keep in touch! Though we'd love to have you in our directory, we understand if you'd like to not be listed.

Yes, I would like to be listed in the members only directory.

No, I would NOT like to be listed in the members only directory.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of AWIS. Report Abuse

Forms