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.

Name

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Email address

Please provide your .edu email address

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Current standing

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Academic Institution

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Field of Study

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Expected Degree

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Expected Graduation Date

If you aren't sure, please provide the closest estimate. Thanks!

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!)

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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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