AEA Fall '20 Member Applications
This is the official Alpha Eta Alpha application form for Fall 2020!

If you are a returning member, you will still need to fill this out!
Please fill it in and submit to us in order to become a part of the cool crowd!

Link to our MS Teams Channel:
Last Name, First Name *
Returning or New Member?
Clear selection
If you are returning, have you already paid your membership for the entire year?
Clear selection
Email Address *
We will be emailing you about all of our events and post general meeting recaps! Please make sure this is an email that you USUALLY check up on!
Phone Number *
Write in the form of xxx-xxx-xxxx.
Have you joined our MS TEAMS yet? If not, join below! *
Would you like to be added to our Groupme? (To be in our social room!)
Clear selection
Cougarnet email *
UH Peoplesoft ID
What health profession are you planning to become? If you joined this organization to find out, just click "Undecided"!
Clear selection
Are you planning on graduating this school year?
Clear selection
Before you submit, do you promise to uphold these membership requirements? *
Attend at least 2 general meetings, participate in at least 3 volunteer (includes Bake Sales), social OR workshop events. Membership dues: $20/semester and $30/year. (TO MEMBERS WHO HAVE ALREADY PAID YEARLY DUES: YOU DO NOT NEED TO PAY ANYTHING ELSE!)
After submitting your application, please make sure to pay your dues online at our website OR to our treasurer by our SECOND GENERAL MEETING (DATE WILL BE ANNOUNCED IN OUR GROUPME/SOCIAL MEDIA)! Visit our website for more information! Please reach out to us if you have a problem!
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