UBAA 2022-2023 Application
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First Name: *
Last Name: *
UB Email: *
Class Standing: *
Major:
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Address: *
UB Person Number: *
Phone Number: *
Date of Birth: *
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Membership Type: *
Payment Method: Due by September 16th *
 (Contact Rayyan Akhter, VP of Finance, at mrakhter@buffalo.edu if you have any payment questions)
Shirt Size *
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Are you interested in participating in a mentorship program?
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