American Association of University Women (AAUW)
Tulsa Branch Membership Application

Our Mission: To promote education and equity for all women and girls.

Membership is open to all graduates who hold a baccalaureate or higher degree from a regionally accredited college or university. Undergraduate students enrolled in a regionally accredited two or four year institution are eligible for a student affiliate membership. There shall be no barriers to full participation in this organization on the basis of gender, race, creed, age, sexual orientation, national origin or disability. Membership includes Association (national level), state and branch dues.


(Check one Membership Type)
Branch - $60 _____ Student Affiliate - $20 _____ Dual Branch - $14 _____

PLEASE PRINT

Date ______________________________________

Social Security Number ________-______-________

Name _______________________________________________________________

Spouse's Name ________________________________________________________

Mailing Address __________________________________________ Zip __________

Birth Date ____/____/____

Phone (H) _________________(W) __________________ Fax _________________

E-mail ________________

Profession:
____________________________________________________________________

Place of Employment:
____________________________________________________________________

Degrees obtained, College/University, major and year:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

How did you hear about AAUW?
____________________________________________________________________

Are you a previous member? ____, If yes, where?
____________________________________________________________________

What other organizations are you involved with?
____________________________________________________________________

Hobbies/Interests/Talents:
____________________________________________________________________


Please check the committee(s) in which you would like to help.


Please check the Interest Groups you are interested in attending.

Other suggestions for Interest Groups: _______________________________________
____________________________________________________________________
____________________________________________________________________


Our Branch often provides leadership for many organizations throughout the Tulsa area. Please mark any area in which you might be interested.


This is a reproduction of the Tulsa AAUW Branch application form. For a complete membership information packet, which includes the Branch (local) application and the Association (national) application please send your name, mailing address and phone number to:

Betty Smith
918-743-3560
or
Virginia Ayling
918-663-9736

Updated July 15, 2002