WOMENinSTEM@IC Membership Form
We are delighted that you would like to become a member of the newly formed society 'WOMENinSTEM@IC. Please fill in this form to complete your application. We will get in contact with you shortly and are excited to welcome you in our community.
Email address *
Last Name *
Your answer
First Name *
Your answer
Imperial College Status *
If affiliated to IC, what is your Faculty?
Your answer
If affiliated to IC, what is your Department?
Your answer
Gender *
Are you already a member of our mother organization, the 'Women's in Engineering Society (WES)'? As an Imperial College student/staff, you are enabled a free membership through the IC/WES Education Agreement. *
Are there any other related societies at IC you are part of? We are aiming to connect with them if possible.
Your answer
Are there any particular events/activities you would like to see via this society membership? Any other comments?
Your answer
What aspects of the group appeal to you? *
Required
If 'Other' please give details
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms