AWM Graduate Student Chapter Membership Form

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

Please fill out the following form to become a member of the Illinois Graduate Student Chapter of the Association for Women in Mathematics. Membership in the Chapter is open to any graduate student at UIUC, regardless of gender identity or expression.

First Name *

Last Name *

Illinois Email Address *

Degree Program

PhD in Mathematics

PhD in Mathematics with a Concentration in Actuarial Science and Risk Analytics

MS in Mathematics

MS in Applied Mathematics

MS in Actuarial Science

MS in the Teaching of Mathematics

Other:

Clear selection

Anticipated Graduation Date

Email List

The email list is our primary way of communicating with our members about upcoming events, volunteer opportunities and chapter news.

Would you like to be added to the email list? *

I'm already on the list.

Please add me to the list.

I prefer not to be added at this time.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms