ROAM NYC Membership Registration
NOTE! This form and the ROAM NYC organization is for registration by REGIONALLY-BASED ADMISSIONS COUNSELORS in the NY Metro area, not campus-based recruiters with Metro NYC as a travel/reading territory.

Please complete this form to share information with us about your roles and responsibilities as a regional admissions counselor in the Metro NYC area. We are still in the process of establishing full membership criteria, dues amounts, and other organizational elements, but let's start here and understand who we all are!
Name *
Your answer
Title *
Your answer
Employer *
Your answer
Type of Institution *
Where are you physically located? (Borough if NYC, city/state if not)
Your answer
Cell phone number *
Your answer
Work phone number *
Your answer
Email address *
Your answer
In which regions are you the primary TRAVELER? (Check all that apply) *
Required
In which regions are you the primary READER? (Check all that apply) *
Required
Are you able to represent your school at events in each of the metro area locations listed above? *
For what duration of the year are you employed? *
Are you a member of any other regional associations? *
Required
Select applicable NACAC regional affiliations: *
Required
Can you contribute annual dues to retain membership? (Amount forthcoming) *
Are you able to meet physically in NYC for meetings? *
Would you like to participate in the leadership of this group?
Are we able to use your university's logo in ROAM NYC promotional materials? *
May we publish your name and contact information on our website, roam.nyc? *
Will your institution reimburse you for the cost of alcohol as a professional expense? *
Do you have any thoughts on how this group can best serve you and your professional goals?
Your answer
Is there a particular area within the organization that you'd like to offer assistance? (e.g. planning events, technological support, budgetary support, etc)
Your answer
Anything else you'd like to share?
Your answer
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