Membership Application Membership Application "*" indicates required fields Name* First Last Spouse's Name First Last UCF Affiliation (Check all that apply) I work at UCF Alumna, friend of UCF, etc. Please tell us the position you hold at UCF. Please elaborate your UCF affiliation For example: spouse, degree holder, child enrolled, etc. Contact InformationWork PhoneCell PhoneHome PhoneBirthdate MM slash DD slash YYYY Member Since (Year) What year did you first become a member? New members please fill in this year.Email* Enter Email Confirm Email Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Contact Preference Your name and contact information will be published in our directory and you will receive our newsletter and announcements via email. Should you wish to make other arrangements, contact Zalpha Hashem at 321-262-9434 or via email at firstname.lastname@example.org. Membership Dues Membership dues are $45.00 annually. Make a check payable to Women's Club at UCF, Inc. and mail this form with your check to our treasurer Sheri Dyer 2410 Huntingdale Lane Oviedo, FL 32765 You may also pay online by returning to membership, clicking on "membership dues" and following those directions where you will have the option of paying dues with a credit card via PayPal Scholarship Fund Please consider adding a donation to the scholarship fund by making a separate check payable to UCF Foundation. Indicate either First Ladies Undergraduate Spendable Account or Shelia B. Somerville Graduate Spendable Account. Mail to the address above. Interest Groups You may join as many interest groups as you wish. Check all that interest you and the chair person will contact you with information about meeting dates, times, etc. Interest Groups Arm Chair Travelers Armchair Traveler II Cultural Arts & Wellness Bookworms (Day) Bookworms (Night) Bookworms: PageTurners Chick Flicks Mah Jong 2 (daytime) Bookworms: On The Same Page Conversational Spanish Gardening Gourmet II Geneology Great Decisions International Gourmet International Friendship Mah Jongg (Day) Monday Walkers Needlework Originals Rummikub Spectator Sports Fans Hiking! Tech Curious Theater Wine Tasting CaptchaEmailThis field is for validation purposes and should be left unchanged.