Women in Technology Membership Form
Fill out this form to sign up for Women in Technology!
* Required
Email address
*
Your email
Given Name
*
Your answer
Preferred Name
Leave this section blank if your preferred name is the same as your given name
Your answer
Family Name
*
Your answer
USU Membership Number
*
This should be 7 numbers long
Your answer
What year of university are you in?
1st
2nd
3rd
4th
5th or above
Clear selection
What is your degree/majors?
Your answer
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