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Important    

Please make sure to pay your $30 dues (for the 2009-2010 school year) in addition to filling out this application. 

Please contact our Treasurer, Francisco Ramirez fjramirez2@miners.utep.edu  to make your membership payment.  Thank you!

   
2009 - 2010 MAES / SHPE Membership Application    


* = Required
First Name
Last Name
Middle Initial
UTEP ID Number
E-mail
Alternative e-mail
Street Address
Apt #
City
State
Zip Code
Date of Birth
Contact Phone Number
Education Information
Degree
Major
Minor
Classification
Cumulative GPA
Expected Graduation Date
Do you have Internship, Co-op or Research experience?
If yes, please detail what the experience was and with what organization or company.
Submit 

   
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