Affinity Group Membership Registration

Which Affinity Group are you interested in joining (Choose one or more)

Asian Faculty & Staff AssociationBlack Faculty & Staff AssociationDisability, Neurodiverse and Chronically Ill (Disability+) Faculty & Staff Association (Disability+FSA)Jewish Faculty & Staff AssociationLatine/x Faculty & Staff Association (LFSA)LGBTQ+ Faculty & Staff AssociationWomen's Faculty & Staff Association

Full Name

Pronouns (Optional)

Title and Office/College/Division

Extension

Email

Are you Faculty or Staff?

Faculty MemberStaff Member

Are you interested in serving as an Executive Officer in an Affinity Group?

YesNo

Do you want to subscribe to the Affinity Group Newsletter?

YesNo