AWIS Baltimore Student Membership Application (Chapter-only)
Use this form to sign-up for Chapter-only membership. This option is only open to undergraduate and graduate students!
Current Membership Term: July 1, 2013 through June 30, 2014.
* Required
Name
*
Your answer
Email address
*
Please provide your .edu email address
Your answer
Current standing
*
Choose
Undergraduate student
Graduate student
Academic Institution
*
Your answer
Field of Study
Your answer
Expected Degree
*
Choose
Ph.D
Master's
Bachelor's
Expected Graduation Date
*
If you aren't sure, please provide the closest estimate. Thanks!
MM
/
DD
/
YYYY
I understand that Chapter-only student membership dues are non-refundable and cannot be prorated. After June 30, 2014, I will need to renew my student membership dues in order to remain a dues-praying member of AWIS Baltimore.
*
Current Membership Term & Dues: July 1, 2013 through June 30, 2014; $35 dues (50% savings compared to AWIS National Junior Level + Balt Chapter dues!)
Yes
No
Required
I have consulted the AWIS Baltimore website and fully understand the difference between Chapter-only and AWIS National + Chapter Membership.
*
If not, please review the differences at
http://www.awisbaltimore.org/membership
before submitting this form.
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No
Required
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