LeadUS Mentoring Program 2015-16

Welcome to the Fallbrook branch of the American Association of University Women. General membership is available to anyone who supports the mission of advancing equity for women and holds at least an AA (associate degree) or its equivalent from a qualified educational institution. More information is available HERE.

Dues are $126.00 annually. This includes membership to AAUW National ($74.00), AAUW California ($30.00), and AAUW Fallbrook ($22.00). Save 50% on AAUW National membership by joining in person at a Fallbrook branch monthly meeting or community event.

Complete and submit this application and send or bring a payment. See website for payment options.

Name*

First NameMiddle NameLast Name

Phone number*

Area CodePhone Number

E-mail*

Current address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Have you previously been a member of AAUW?*

YesNo

If yes, list the name you used to apply.

If yes, what email address did you use to apply?

example@example.com

Highest degree or equivalent*

Field of Study*

Date*

College or university name (include campus location if applicable)*

Birthday (month and day)*

Name of spouse/partner

Brief bio—what would you like us to know? Family, education, career, interests.*

Select any activities that interest you. Learn more about them on our website.*

Skills/knowledge/experience*

AAUW Fallbrook General Membership Application

Personal Information

Education

Information for our Member Directory

Interest Survey