Harvard Club of Boston Membership Application

Family Membership Application

Are you ready to join our community? We deliver an exclusive offering for undergraduate students of Harvard University, MIT and their parents. We invite you to fill out a family membership application, which should take no more than 5 to 10 minutes to complete. You will hear from us soon regarding the status of your application and next steps towards becoming a member. Applications typically take three to four weeks to process. If you have any questions in the meantime, please contact us at contact@harvardclub.com.
Student Affiliation + Eligibility
Student Name*

PrefixFirst NameMiddle NameLast NameSuffix
Primary Email*
example@example.com
Secondary Email*
example@example.com
Home Phone
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
International Phone (if needed)
Date of Birth*

MonthDayYear
Date
Gender*

MaleFemaleNon-BinaryPrefer not to disclose
Harvard House Affiliation*

First Year StudentAdamsCabotCurrierDunsterEliotKirklandLeverettLowellMatherPforzheimerQuincyWinthropMIT
Class Year*
Student Address + Education + Family
Student Address (If the student does not have a campus mailing address yet, please list the student’s home address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
We require a photo of the student to be on file as a resource to club staff. You will be able to choose whether or not you wish to make your photo available to fellow members on the app or club website. *

Cancelof
Take Photo
Parent Information + Interests
Parent Name*

PrefixFirst NameLast Name
Are you an alumnus of Harvard or MIT?*

YesNo
Which School?

Harvard CollegeHarvard Business SchoolHarvard Divinity SchoolHarvard Extension SchoolHarvard Graduate School of EducationHarvard Graduate School of DesignHarvard John A. Paulson School of Engineering and Applied SciencesHarvard Kennedy SchoolHarvard Kenneth C. Griffin Graduate School of Arts and SciencesHarvard Law SchoolHarvard Medical SchoolHarvard Dental SchoolHarvard T.H. Chan School of Public HealthRadcliffeMIT
Class Year
Gender*

MaleFemaleNon-BinaryPrefer not to disclose
Parent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone
Please enter a valid phone number.
Mobile Phone*
Please enter a valid phone number.
International Phone (if needed)
Date of Birth*

MonthDayYear
Date
Marital Status*

MarriedSingleDomestic PartnerWidowed
Work Title*
Firm/Employer Name
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check the box below if your billing address is different from your mailing address*

YesNo
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
We require a photo of the parent to be on file as a resource to club staff. You will be able to choose whether or not you wish to make your photo available to fellow members on the app or club website. *

Cancelof
Take Photo
Would you like to add a second parent?*

YesNo
Parent 2 Name

PrefixFirst NameLast Name
Parent 2: Are you an alumnus of Harvard or MIT?

YesNo
Parent 2: Which School?

Harvard CollegeHarvard Business SchoolHarvard Divinity SchoolHarvard Extension SchoolHarvard Graduate School of EducationHarvard Graduate School of DesignHarvard John A. Paulson School of Engineering and Applied SciencesHarvard Kennedy SchoolHarvard Kenneth C. Griffin Graduate School of Arts and SciencesHarvard Law SchoolHarvard Medical SchoolHarvard Dental SchoolHarvard T.H. Chan School of Public HealthRadcliffeMIT
Parent 2 Class Year
Parent 2 Gender

MaleFemaleNon-BinaryPrefer not to disclose
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent 2 Primary Phone
Please enter a valid phone number.
Parent 2 Mobile Phone
Please enter a valid phone number.
International Phone (if needed)
Parent 2 Date of Birth

MonthDayYear
Date
Parent 2 Marital Status

MarriedSingleDomestic PartnerWidowed
Parent 2 Work Title
Parent 2 Firm/Employer Name
Parent 2 Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check the box below if your billing address is different from your mailing address

YesNo
Parent 2 Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
We require a photo of the parent to be on file as a resource to club staff. You will be able to choose whether or not you wish to make your photo available to fellow members on the app or club website.

Cancelof
Take Photo
How Did You Hear About Us?*

Harvard Family WeekendHarvard OrientationVisitasHarvard MagazineThe Harvard ShopHarvard COOPHarvard AthleticsHarvard Varsity ClubHarvard Student AgenciesHarvard Alumni AssociationInstagramLinkedInFacebookWord of MouthMIT Alumni Association
What is your reason for joining the Harvard Club of Boston? Please select up to three options.*

Meet people / connect with othersStay connected to the universityLectures and learning programmingReciprocal NetworkEntertain family and FriendsTouch down or relaxation spacePlace to work and conduct businessProximity to the clubhouseReconnect with alumni / classmatesPrestige of belonging to the Harvard ClubSocial events and faculty speakersHealth and wellnessHost events at the clubhouseFamily tradition of membershipNetworking / business opportunitiesOther
Communication
How do you prefer to receive club communications*

EmailTextBoth
SMS Privacy Policy Short Message Service (SMS)

If you subscribe to our SMS Services, you thereby agree to receive SMS Service messages at the address and/ or mobile number you provide for such purposes. Such messages will come from the Harvard Club of Boston.Participation in our service is free of charge but standard carrier text messaging charges will apply. You may change your mind at any time by following the opt-out instructions below. You represent that you are the owner or authorized user of the wireless device you use to sign up for the SMS Service, and that you are authorized to approve the applicable charges.We will never rent or sell your phone number to any third party, nor will we use your phone number to initiate a call or SMS message to you without your express or implied prior consent. Your wireless carrier and other service providers also collect data about your SMS usage, and their practices are governed by their own privacy policies.You acknowledge and agree that the SMS Service is provided via wireless systems which use radios (and other means) to transmit communications over complex networks.We do not guarantee that your use of the SMS Service will be private or secure, and we are not liable to you for any lack of privacy or security you may experience.You are fully responsible for taking precautions and providing security measures best suited for your situation and intended use of the SMS Service.You can opt-out of our text message program at anytime by REPLYING "STOP" to any message you receive.For help or more information about our text message (SMS) please contact us at contact@harvardclub.com.
I acknowledge that I have received information pertaining to our texting policy and would like to proceed with the application process.*

Yes
Dues Policies

The Family Membership Program is available to Harvard University and MIT undergraduate students and their parents. Current and/or former Harvard Club of Boston members are not eligible. It is important that you understand our membership structure before submitting an application. There is no initiation fee, but there is a $70 monthly dues fee. If you have further questions regarding membership fees, please contact the membership office.
I acknowledge that I have received information pertaining to membership fees and would like to proceed with the application process.*

Yes
Family Membership Acknowledgment

I understand that the Family Membership is valid through August 31st of the student’s graduation year. I also understand that parent accounts under the Family Membership expire on the same date. Parents wishing to continue membership may join under their own account, with the initiation fee waived and monthly dues based on age and location.
I acknowledge that I have understand the information pertaining to the Family Membership program.*

Yes
Billing Process

Once your application has been reviewed and accepted, you will receive a confirmation email. By submitting an application, you agree to keep an up-to-date credit card on file as late fees will be assessed for payments not made within 30 days. Membership privileges will be automatically suspended when payments are not made within 60 days.
I acknowledge that I have received information pertaining to the billing structure and process and would like to proceed with the application process.*

Yes
All billing statements are sent electronically. Please list the email address where you would like to receive your billing statement*
example@example.com
Is there an additional email that should also receive copies of your billing statements?
example@example.com
Billing Frequency (The HCB fiscal year ends each year on August 31. All annual billing will be prorated to reflect the end of the fiscal year.)*

MonthlyQuarterlySemi AnnuallyAnnually
Is your billing address different than your home mailing address?*

YesNo
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Application Submission

Once you hit submit below, you will have completed the first step in the application process to join the Harvard Club of Boston. Your completed application will be sent to our membership office for review and your Harvard affiliation will be verified. The application process will take approximately three to four weeks from start to finish. You can contact us at contact@harvardclub.com with any questions.
Should be Empty:

Family Membership Application

Student Affiliation + Eligibility

Student Address + Education + Family

Parent Information + Interests

Communication

SMS Privacy Policy Short Message Service (SMS)

Dues Policies

Family Membership Acknowledgment

Billing Process

Application Submission