Membership Application
American Association of University Women
Harrisonburg, Virginia Branch

NAME: First __________________________ MI _____ Last____________________________

ADDRESS: Street______________________________________________________________

City / State / Zip ______________________________________________________________

CONTACT: Phone ______________________ Email __________________________________

BIRTHDAY: Month ________________ Day __________

EDUCATION:

INSTITUTION                                       DEGREE                                                 MAJOR

Student Applicants: Institution Attending ________________________ Years Completed ______

INTERESTS: Please tell us some of your areas of interests.

□ Foreign Policy      □ Literature     □ Cultural Diversity      □ Other   _______________________________

TALENTS: Do you have any talents you would like to share with the group?

□ Accounting / Fundraising   □ Art / Graphic Design / Photography   □ Member Recruitment    □ Public Relations / Social Media / Web Design    □ Scholarship Application Evaluation
□ Programming     □ Other________________________

ANNUAL DUES

Regular Branch Members: National $67 + State $15 + Branch $9 = $91

Student Members: National $ + State $ + Branch $ = None

Please send this completed application to Sue Gier, PO Box 34, Singers Glen, VA 22850 or sue@suegier.net.

Checks must be payable to “AAUW Harrisonburg.”

Sue may be contacted by voice or text at 540-271-0656