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BUILDING TOMORROW,
ONE MEMBER AT A TIME
FILL OUT THE FORM
Student Membership Form
First name
*
Last name
*
School Email
*
Emergency Contact Phone
*
Birthday
*
Month
Day
Year
Mailing Address or P.O. Box
Select which departments you are interested in joining. (Select as many as you want)
*
Advocacy
Service
Research
Finance
Media
Records
I don't know yet
What school year are you starting or going into?
*
Choose one
Which school will you be attending this year?
*
Choose one
I am interested in receiving important updates from the Wythe Student Union to my school email.
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