Korean Undergraduate Student Association
Membership Form
| Name: | ___________________________________________________________ |
| Address: | ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ |
| Phone: | (______) - __________________________________________________ |
| Email: | ___________________________________________________________ |
| Where are you From: (i.e. Hometown) |
___________________________________________________________ |
| Class: (check one) | Freshman Sophmore Junior Senior Grad Studet Other |
| Expected Graduation: | FALL SPRING SUMMER of __________________________ |
| Major: | ___________________________________________________________ |
| Minor: | ___________________________________________________________ |
| Birthdate: | ________ / _________ / __________ (MM/DD/YYYY) |
| Age: | ______________________________ |
| Ethnicity: | ___________________________________________________________ |
| Activities: (you are invovled in) |
___________________________________________________________ ___________________________________________________________ ___________________________________________________________ |
| Please print out this form, fill it out, and turn it in at our next meeting. Thank you. If you have any problems, please email the us. |