SPA Membership Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please fill in the fields below to be included in our membership roster and to receive updates from SPA!

Membership is free and open to higher education professionals, students, faculty, and anyone interested in the field.

If you have any questions, please email wisconsinspa@gmail.com.

First Name *

Last Name *

Pronouns *

Email *

Please include the full address (ex. spa@gmail.com). This email address will be used as our primary mode of contact.

Status *

Student affairs/higher education professional

Graduate student

Undergraduate student

Other:

Institution/Campus *

Edgewood College

Madison College

University of Wisconsin-Madison

Other:

Department/Unit/Office *

Job Title *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of UW-Madison Google Workspace. Report Abuse

Forms