If you are interested in becoming a member of Groove, please fill out the form below. Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### Birthdate * DD/MMM/YY Age * Check the option that applies * Undergraduate Graduate School Attended * Did you Graduate? (This is just for informational purposes and is not a qualifier nor disqualifier for consideration) * Yes No If "Yes" what year did you graduate? * Type of Degree? (select one) * Select one: Bachelors Masters Doctorate Other certifications What Field? * If "No" what was the last year of college, you completed? Freshman (second semester) Sophomore Junior Senior How did you hear about us? * Select one: Social Media Word of mouth From a member of the organization At a Groove event Other (specify below) If none of the above how did you hear about us? * Tell us a little more about you. * Thank you for taking the time to let us know that you are interested in joining our organization. We look forward to you meeting the members of our chapter and the chapter meeting you. We will be in touch with you soon.
