ISACA Membership Application - Fall 2018
Please fill out the application form and pay applicable dues to our Treasurer, Xi Gao, during one of our meetings if you are going to pay by cash or check (make check payable to ISACA at SJSU and write student ID on memo line). If you would like to pay through Venmo, please send your Venmo payment to "@ISACA" with the last 4 digits of your student ID number in the description, and set the privacy setting to "Participants only". This form must be completed before turning in your payment.

Dues: $25 per semester or $45 for two semesters.
*Make check payable to: ISACA at SJSU. (Please write student ID on memo line of check)

Please note that you will need to submit payment after filling out this form in order to officially become a member of ISACA. If payment is not received by the deadline, your application will be denied.

Thank you for supporting ISACA!

DEADLINE TO SUBMIT APPLICATION FORM AND PAYMENT: September 20 (the exact deadline is at the end of the KPMG meeting, so you can still apply and pay for membership during that event, but that event will be the last time you will be able to apply/pay for membership)

Email address *
First Name *
Your answer
Student ID *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Declared Major *
Grad Term *
Grad Year *
Current Year *
Why are you interested in ISACA? *
Is this your first semester as part of ISACA? *
How did you hear about us? *
T-Shirt Size *
Suggestions you'd like to see? (Meeting topics, group activities, social events, food, etc.)
Your answer
Registration *
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