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NUGS-USA Student Information Form
This form is designed to collect information from students interested in joining the National Union of Ghanaian Students in the United States of America (NUGS-USA).  Please note, the information provided will be handled with the utmost confidentiality and respect for your privacy. It will be used exclusively for the purposes of NUGS-USA activities, community engagement, and support services. If you have any questions or need to update any of the information you provided, feel free to contact us at E-mail Address We are excited to have you as a part of our vibrant community and look forward to your active participation in our upcoming events and initiatives.

First Name  *
Middle Name (If any)
Surname *
Gender  *
Date of Birth
Providing your date of birth helps with personalized support, community engagement, tailored communication, effective data analysis, and legal compliance. Date should be written in this format; YYYY-MM-DD. For example, the 15th of November, 2023 would be written as 2023-11-15 in this format.
E-mail Address *
Mobile Number  *
University / College Name  *
Please provide the official full name of your university or college, not the abbreviation of the school. 
Degree Level  *
Major/ Program of Study *
Please provide the official name of your program. 
Program Type *
Please indicate whether your program is a STEM or Humanities designation. You can select 'other' if you are unsure. 
Year of Enrollment  *
Date should be written in this format; YYYY-MM-DD.  For example, the 15th of November, 2023 would be written as 2023-11-15 in this format.
Expected Graduation Date  *
Date should be written in this format; YYYY-MM-DD.  For example, the 15th of November, 2023 would be written as 2023-11-15 in this format.
State Where University / College is Located *
Housing Information  *
Providing housing information enables localized support, community building, event planning, and emergency responsiveness.
Current Address of Residence 

Sharing your residence address, though not compulsory, facilitates localized support, emergency assistance, and community event coordination. Be rest assured that your data is safe with us.
Full Name of Emergency Contact 

Providing the name of an emergency contact, while optional, ensures timely assistance and support in urgent situations.
Mobile Number of Emergency Contact 
Relationship to Student
Academic Achievement (If any)
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