2020-2021 Chemistry and Biochemistry Club Membership Form!

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Please use this form to become an official member of the Chemistry and Biochemistry Club! We greatly appreciate your participation and enthusiasm.

Note that if you would like to request one-on-one tutoring through the club, you must become a dues-paying member.

STUDENT DUES: $10/year. To pay dues, please use our PayPal account. Be sure to obtain a receipt. If you encounter any problems using PayPal, please email the club at chemcsula@gmail.com

FACULTY / STAFF / SUPPORTER DUES: Thank you for your support! All contributions welcome! Suggested minimum donation $20/year.

Name (First and Last) *

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Freshmen (First Year)

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Junior (Third Year)

Senior (Fourth Year +)

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Major

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Professional Goals (Select all that interest you)

Master's

PhD

Academic Research

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Science writing / public policy or outreach

Healthcare (Veterinary, Medical, Dental, Optometry, Chiropractor, Physical Therapy, etc.)

Non-science career

Other:

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Interested in becoming a tutor?

If you are interested in joining our team of tutors, please fill out our tutor sign-up form, available on the club website. Tutors must be trained and approved by our faculty advisors (training date TBD). Tutors receive free club membership and are recognized the end of the academic school year.

Yes

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Interested in volunteering?

Yes - Fundraising

Yes - Experiment Demonstrations & Primary School Outreach

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