Membership Form

Name (first and last)

Major

Lesbian Gay Bi-Sexual TransGendered/TransSexual Straight Prefer Not To Say

Email to add you to the distribution List for Unity (if you are not on it already)

Sexual Orientation

What kind of Speakers would you like to have at the meetings? (examples, PFLAG, Speakers on a particular topic, research in a field)

When is the best time (days and times) for you to attend meetings?

the information received from this form will only be used for Unity Club information only.  (Meeting planning and organization emails to get information to the members of Unity Club.)

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