JOIN STUDENT-MADE JMU!

Name *

First Name

Last Name

Are you 18 years or older? *

If you are not 18 years old, please still complete the application and we will contact you with further details!

Yes

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Optional Demographic Info

We hope to use this information to help us strive for inclusivity and cultural sensitivity and make strategic decisions such as marketing and resources we need to support our participants.

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Other

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What Is Your Ethnicity?

Select all that apply.

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

Latino/a

White / Caucasian

Multiple Ethnicity / Other

Phone *

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