Member Interest Form
Thank you for your interest in joining UA Resist! This encrypted form will be used only to follow-up on the info meeting logistics via e-mail. After initial outreach, your information will be deleted. If you have any questions or concerns, please reach out to AZcommunity25@proton.me.
Name
First Name
Last Name
Non-University of Arizona E-mail
example@example.com
What is your affiliation with the University of Arizona?
Why are you interested in joining UA Resist?
Submit
Should be Empty: