Membership Application

Membership Level: First Name: Last Name: Email: Campus Email Preferred Phone: Student Status Enrolled Undergraduate Enrolled Graduate Faculty/Staff Alum CNP University Ethnicity American Indian or Alaskan Native Asian Black or African American Hispanic, Latino, or Spanish origin Middle Eastern or North African Native Hawaiian or Other Pacific Islander White Bi-racial/Multi-racial Prefer not to answer Not listed Gender: Female Male Non-binary/third gender Prefer not to answer Not listed Currently or formerly in the military No Yes Prefer not to say First Generation College Student No Yes I don't know Prefer not to say Birth Date: / / Click to confirm you understand the refund policy