AMSA Fall 2019 Local Application
The University of California, Merced Chapter
Please fill out as much information as possible as this application is used to guide funds toward workshops, events, etc, so please fill it out to the best of your ability. Please use correct grammar and spelling (we have had instances of people misspelling their name/email and or not capitalizing their name properly which leads to complications on this form)
If you have any questions feel free to email our Vice President of Membership Kyle Rekedal at:
Do you have an AMSA National ID?
No, I currently have a temporary AMSA ID
No, I am not yet registered with AMSA National
Fifth Year +
Are you a Transfer Student?
Are you a new or returning member?
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