CCWW Membership Sign Up - Cornell Club of Western Washington

This form will allow you to create or renew a Cornell Club of Western Washington membership from September 2022 to September 2023.

This is step 1 of 2 steps:

Enter your relevant information.
Click Send Form and receive Confirmation.

No membership dues are being collected for 2022 – 2023.

Membership Information

NOTE: The fields in RED are required!

Individual Membership Information

First Name:

Last Name:

School:

Year:

Email:

CU Net ID:

What's this? Need help with Net Id?
Try ccww10.

Employer:

Job Title:

Other Degree(s)
(Schl/Yr):

2nd Member Information (if joining as a couple)

First Name:

Last Name:

School:

Year:

Email:

CU Net ID:

Employer:

Business Phone:

Contact Information (Home)

Home Address:

City:

State:

Zip:

Home Phone:

Cell Phone:

Contact Information (Business)

Business Address:

City:

State:

Zip:

Business Phone:

Notify me of events by:

email postal mail both

Survey: Tell Us What You Think:

[Select multiple choice by holding the ctrl-key while selecting.]

1. Where did you hear about CCWW

2. What activities are you interested in?

Social:

Other:

Professional/Career Connections:

Other:

Educational:

Other:

Community Service:

Other:

3. What time do you prefer events?

Event Time:

Other:

4. Which locations do you prefer?

Event Location:

Other:

5. Do you want to be more involved?

Get more Involved:

Other:

CCWW Membership Signup