New Member Application

Question Title

* 1. Name

Question Title

* 2. Birthdate

Birthdate

Date

Question Title

* 3. SIU Email
^{ex: name@siu.edu}

Question Title

* 4. DawgTag
^{ex: 85xxxxxxx}

Question Title

* 5. Major(s)
^{ex: Marketing}

Question Title

* 6. Expected Graduation Date
^{ex: May 2025}

Question Title

* 7. How did you hear about AMA?

Question Title

* 8. Questions or Concerns?