American Association of University Women
Maryville, Tennessee Branch
MEMBERSHIP APPLICATION FORM
2008 - 2009
Membership is open to anyone (male or female) with an associate's degree or its equivalent. Student affiliate memberships are offered to those currently enrolled in a 2- or 4-year college degree program. Complete this form, and click the "Submit Form" button at bottom.

Please provide the following contact information: (* required)

First Name* Last Name*
Street Address*
Address (cont.)
City* State*  Zip Code* + 4
Home Phone* Work Phone*
Mobile Phone Pager
E-mail* FAX

Select all of the following degrees that apply, and indicate the corresponding college and major or field of study.*

AA  AS

Col/Univ

Major

BA  BS 

Col/Univ

Major

MA  MS 

Col/Univ

Field
PhD  

Col/Univ

Field
Other

Col/Univ

Field
Occupation (present or past)
Employer
  
Current Work Status
(Check all that apply)
Paid full-time job  Paid part-time job Entrepreneur  
Volunteer  Student  Seeking work 
Retired  Homemaker  Other
Age (Optional) 20-30    31-40    41-50     51-60    61-70    71-80    81+
Spouse/Significant Other (Optional)
Family Members (Optional)

Name

DOB

Name

DOB

Name

DOB

Name

DOB

Name

DOB

Name

DOB
Interests:
Public Policy Communication and Visibility
Programming and Planning Membership and Outreach
Finance and Fundraising Logistics (Meeting location, structure)
Other
Interests
Membership Type
      (Select One)		 $65.00 Branch Member -- Associate's or higher degree
$25.00 Student Affiliate -- currently enrolled in a 2- or 4-year college degree program.
Additional Donation $ (Optional)

TOTAL:

$

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In principle and practice AAUW values and seeks a diverse membership. There shall be no barriers to full participation in this organization on the basis of gender, race, creed, age, sexual orientation, national origin, disability, or class.

Contributions or gifts to the American Association of University Women are not tax deductible as charitable contributions for income tax purposes. However, dues payments may be tax deductible as ordinary and necessary business expenses.