Graduate & Professional Muslims Association Interest Form

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Thank you for your interest in UVA/Charlottesville GPMA! Please fill out this form so you can receive updates on all events and so we can make this organization beneficial & enjoyable to you, inshallah :)

Join our WhatsApp and Instagram!

Contact: <gpma.cville@gmail.com> or Omina Nazarzoda <bmm9rj@virginia.edu>

Full Name *

(UVA) Email *

Phone Number

What is your profession or field of study and year?

What would you like to get out of this group, or any suggestion for future activities/events?

Would you like to be in our email list regarding activities/events to attend?

Yes

Clear selection

Would you like to be an Officer/Board Member? 3-5hr/month commitment

Yes

Maybe

Clear selection

Submit

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