Student Membership Application

* ASCM ID Enter N/A if you do not have one

* First Name

* Last Name

* School Email Address Using a personal email address will result in the denial of your application

* School Name

* Address Please include full mailing address, including unit/appt # if applicable

* City

* State Please use the two-letter abbreviation

* Zipcode

* Student Number

* Anticipated Graduation Date (mm/dd/yy) If unknown, input any future date (mm/dd/yyyy) - Past graduation will result in the denial of your application

* Course Name of Interest Enter the name of the course you're interested in, or enter N/A

What motivated you to join our Chapter specifically?

* Are you a full-time student?

Yes
No

* Do you want to receive the latest news and updates of our chapter by email?

* I consent to ASCM San Diego Chapter contacting me by SMS.

If yes, please leave your phone number

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Student Membership Application

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