CALIFORNIA STATE POLYTECHNIC UNIVERSITY OF POMONA

California Water Environment Association (CWEA)

2013-2014
Student Membership Application
Name: Major: Date of Birth (mm/dd/yy): Student Status (Select One): Vegetarian: Yes Address: No
Full Time Part Time

Bronco ID:

Other

_____________

Telephone: Receive Text Message: T-shirt Size (Select One): Yes

Email: No

XL

Would you be interested in competing in the Pacific Southwest Conference (PSWC) Environmental Competition? Yes No

Student Membership Fee: $25 for the Whole Year Student Membership Fees include: Student Membership Cal Poly Pomona CWEA T-shirt Food at Lunch Meetings Reduced Fees for Club Activities Email: cwea.cpp@gmail.com Find more information on our website at http://www.cweacpp.weebly.com.

Student Signature:

Date: