Black Student Union Membership Form

Choose the committee(s) that interest you: Academic Community Service Planning Social/Community Relations Fundraising Publications/Promotion
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Briefly describe what would you like to see CCBSU do? (210 character max.)
Please click the submit button only once. It may take a few minutes for a confirmation message to appear.