Georgia Association of Women in Higher Education (GAWHE)
MEMBERSHIP APPLICATION
*Required
* Required
Annual Membership Dues: $30
Make checks payable to:
GAWHE
c/o Dr. Cyndee Moore
P. O. Box 828
Watkinsville, GA 30677
OR
Annual dues may also be paid by credit and/or debit card through via online at
https://bit.ly/2FvoiQz
Have questions? Contact:
cyndee.moore@ung.edu
EMAIL ADDRESS
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NAME (Dr., Mrs., Ms.)
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Institution/Organization
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Your answer
Title
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Your answer
Department/Division/Unit
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Your answer
Work Address
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Your answer
Work Phone
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Highest degree and field of study
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Your answer
Are you willing to serve as the Institutional Representative for your school?
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Yes
No
Maybe! Tell me more!
Select GAWHE committees on which you are willing to serve
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Conference
Membership
Communications
Fundraising
Scholarships
Programs
I don't have time to serve at this time.
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