5. ASBME Membership Form (2020-2021)

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Filling out this form will place you in ASBME's records and will automatically sign you up for our weekly newsletter. However, your official membership will only be activated after you pay dues: $10/semester or $15/year. Venmo @asbmeusc or pay via Paypal at asbme.usc.com. If you use venmo, please include: ASBME membership (fall semester OR year), your full name, and your email address.

This form needs to be filled out every academic year. Welcome to the ASBME family!

First Name *

Last Name *

USC ID *

USC Email *

Major *

BME

BME (Molecular-Cellular)

BME (Electrical)

BME (Mechanical)

BME (Pre-med)

Other:

Year *

Freshman

Sophomore

Junior

Senior

Graduate

Check all that apply: *

Spring admit

Transfer from another school

Transfer to BME from another major

None of the above

Required

I have paid or will pay soon *

$10 half-year ASBME dues (FALL)

$10 half-year ASBME dues (SPRING)

$15 full-year ASBME dues

I have paid or will pay these dues via *

Paypal (at asbmeusc.com)

Venmo (@asbmeusc)

T-Shirt Size *

Career Interests (check all that apply) *

Industry

Graduate School

Medical School

Other:

Required

I am primarily interested in *

Corporate Events

Research Events

Mentoring Events

Social Events

Community Events

Required

Submit

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