Membership Form

Questions? Contact Kim Harrison kjh5108@psu.edu * Indicates required fields

First Name:*

Last Name:*

Email Address:*

Semester Standing:*

Year:* First Year Sophomore Junior Senior Super Senior Graduate Student

T-Shirt Size:* Small Medium Large X-Large 2X-Large

Major:* Acoustics Program Aerospace Engineering Agricultural and Biological Engineering Architectural Engineering Bioengineering Chemical Engineering Civil and Environmental Engineering Computer Science and Engineering Electrical Engineering Engineering Science and Mechanics Industrial and Manufacturing Engineering Mechanical and Nuclear Engineering Other

Student ID Number:*

Expected Graduate (MM/YYYY):*

Birthdate (MM/DD/YY):*

Local Address:*

Cell Phone Number:*

Permanent Address:*

Permanent Phone Number:*

Have you (or will you) complete the Annual Membership Form / Registration Online for National SWE? (http://www.swe.org)* Already Completed Yes No (NOTE: You do not need to be a National member in oder to be a part of PSU SWE, however you MUST complete the National Membership in order to include it on your resume)

Please select the committees that you would like to serve on this year. You will be on the mailing list for these committees. We encourage participation in as many as you would like. Homecoming (Fall) THON (Spring) High School Stayover (Spring) Banquet (Spring) Engineering Career Fair (Spring) Mr. Engineer (Spring) Rube Goldberg (Spring) Relay For Life (Spring) Engineering Semiformal (Spring) Web Page (Both) Networking Receptions (Both) IM Sports (Both) Blood Drives (Both) General Service Events (Both) General Publicity (Both)

Are you interested in becoming a committee chair for any of the events above? No Yes If yes, which one(s)?

Questions? Contact Kim Harrison at kjh5108@psu.edu