UMAST Membership Application 2022
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Email *
Member name: *
Work phone number:
Cell phone number:
Employer: *
Department or division: *
Current job title: *
Career level: *
Please list your academic qualifications and the college or university where each was earned: (example: Bachelor of Arts, University of Texas San Antonio)
Please indicate if you are a member in any of the following organizations:
Are you interested in learning more about getting involved in any of the following UMAST activities?
Are you registering yourself individually or as part of a group? *
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