UConn Actuarial Society Application 2023-2024
Please complete this form if you are interested in joining the UConn Actuarial Society (UAS) for the 2023-2024 academic year. Feel free to reach out if you have any questions or concerns, either via the field at the bottom of this form or by emailing uconnactuarialsociety@gmail.com. *New and Returning members must submit*

[Upon completion of this form, please pay your dues via this link: https://secure.touchnet.com/C21646_ustores/web/product_detail.jsp?PRODUCTID=4071.]
DUES MUST NOW BE PAID BY VENMOING @JCPUMMER as the dues link is now inactive. 

Dues must be turned in AFTER you submit your application.

Note that there are 2 parts!! Once you submit successfully, you'll receive a confirmation and copy of your responses!!

In the section below, please enter your UConn email address.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
New or Returning Member? *
Personal Email *
UConn NetID *
Please enter the one with your initials (ex: abc12345)
Primary Phone Number *
Instagram Handle (Optional)
Major(s) *
Minor(s)
Coursework *
Expected Graduation Date *
List Actuarial Exams Passed (if any):
List Internship Experience (if any):
Are you willing to have your name, internship experience, and contact information listed and shared with the UAS community so that students interested in learning more about the company you interned for can ask you questions?
Clear selection
By typing my full name (first and last) here, I agree to behave at all times in a professional and responsible manner towards fellow UAS members and sponsors, collegiate peers and faculty and the public at large, and to maintain at all times the highest degree of moral and ethical conduct. Additionally, I agree to pay annual UAS dues of $60 upon submission of this application which provide me membership for the entirety of the 2023-2024 academic year so long as I am enrolled at the University of Connecticut. *
Questions or Comments:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms