Membership Form | Black Graduate Student Association

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BGSA Membership Form

Qualifications for the BGSA membership includes: being a part - or full-time graduate student enrolled at UAB with an active interest in contributing to the BGSA.

Please complete the following fields and press the submit button at the end of the form only once.

Title:(*)

Dr.

Mr.

Mrs.

Ms.

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First Name:(*)

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Last Name:(*)

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Graduate Program:(*)

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Degree Sought:(*)

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Expected Graduation (Semester/Year):(*)

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Email Address:(*)

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Undergraduate Institution:(*)

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Undergraduate Graduation Date:(*)

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Interest:

Please check this box if you would like to receive emails from BGSA of particular items of interest and upcoming BGSA sponsored or supported events.

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Brief description of items of interest:

Community Service

Social Activities

Professional Development

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Thank you for your interest and support of the UAB BGSA.

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