NACURH OTM Selection Committee

CHAPTER INQUIRY FORM
Interested in being a member of NRHH? Check-out the our members tab underneath the About page to see if your institution already has a chapter. If your institution does not have a chapter, feel free to fill out the form below! If you have any questions please do not hesitate to contact the NACURH Associate for NRHH at nan@nacurh.org.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Your Role On Campus*
Institution Name*
Please write your institutions full name.
Institution Location*
Example: Chicago, IL
Has Your Campus Ever Had A Chapter Before?*
How Did Your Hear About NRHH?*
Other Information and/or Questions
Should be Empty:

CHAPTER INQUIRY FORM