LGBT Alumni Sign Up Form

First Name:

Last Name:

Name at graduation (if different):

Address 1:

Address 2:

City:

State:

Zip:

Email address:

Graduation Year:

Degree:

Employer:

Title:

What do you want from the Chapter?:

Other memberships:

List your current professional and/or non-profit memberships

Student memberships:

List prior UWM student organization memberships

Are you interested in serving on a Chapter?:

Development

Education

Events

Marketing & Communications

Fundraising

How did you hear about us?:

University of Wisconsin–Milwaukee