* Indicates an answer is required.

Question Title

* 1. Name of Student Chapter:

Question Title

* 2. Student Chapter President Contact Info

Question Title

* 3. Anticipated Graduation Date:

Question Title

* 4. Primary Instrument:

Question Title

* 5. Primary Profession Interest:

Question Title

* 6. Student Chapter Advisor Contact Info

Question Title

* 7. Primary Instrument:

Question Title

* 8. Please upload a completed Student Chapter Roster Form.
Important: All student chapter members must be current ASTA student members and have paid their $57 annual membership dues.

PDF, DOC, DOCX file types only.
Choose File

Question Title

* 9. Please upload a picture of your student chapter as a group, or your school's logo. This will be displayed next to your listing in the ASTA Student Chapter Directory on the ASTA website.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

T