JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SIPE Membership Sign-up
Please fill out all of the below information!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name
*
Your answer
Student ID
*
(This is required by the University per Club Membership Policy)
Your answer
Email
*
Your answer
Major
*
Communication Sciences and Disorders
Nursing
Social Work
Kinesiology
Recreational Therapy
Psychology
Other:
Class Level
*
(Nursing Students: Please list which semester you are in under "Other")
Sophomore
Junior
Senior
CEC/2nd Bachelor's
Graduate Student
Other:
Please continue on to the next page for the photo release form.
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
