UA NAACP MEMBERSHIP APPLICATION

University of Alabama NAACP Membership Application

Complete the form below to apply for membership, please complete all questions.
Membership
Membership Type: Please remit fee to CASHAPP:

New Application ($10.00/year)Renewal ($10.00/year)
Name

First NameLast Name
Address

Street Address

Street Address (Local)

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Home Number

Area CodePhone Number
Cellular Number

Area CodePhone Number
How do you identify yourself
What is your major?
Expected Graduation Date:
What is your classification?
Which committee(s) are you interested? Check all that apply.

MembershipFinancePublic Relations/MediaEvent PlanningJuvenile/Criminal JusticePoliticalCommunity Service
Activities
Lists all organization(s) that you are currently involved and hold any position(s):
Privacy Policy

Please read our Privacy Policy in order to understand how your information is used and shared, and check below if you accept the policy. The information provided will remain private and will not be disclosed to any additional entities, other than for the purposes of the UA NAACP membership.
I have read, understood and accept the membership application.
Once you submit your application, we will contact you via email to schedule your interview. We can be reach at ua-naacp@ua.edu

Thank you!
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University of Alabama NAACP Membership Application