Membership Application

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Membership Application

The student organizations at American Public University System (APUS) provide networking and engagement opportunities for community members with a common interest. American Military University (AMU) and American Public University (APU) students, alumni, faculty and staff may apply for membership to learn more about the benefits and opportunities associated with involvement in a student organization.

Please apply for membership for one of our many organizations by completing the application below. Upon receipt of the completed application, the leadership team will contact you with more information.

Student Organization*

Relationship to University*

Student Alumnus Faculty Staff

Student ID*

Confirm *

Name*

First Name

Last Name

Email*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

University Information

Degree Level*

Degree Name*

Institution*

AMU APU

APUS Credits Completed*

Total Credits Completed*

Anticipated Graduation Date*

Graduation Date*

Are you interested in becoming an officer and/or holding a leadership position?

Yes No I would like more information

Signature*

[clear]

Use your mouse or finger to draw your signature above

The information printed on the membership application will only be shared between the Office of Student Affairs, and Chapter Executive Team. By submitting your application, you are approving all parties to view your submitted information. If membership is approved, fellow chapter members may be able to view your name and contact information. If you have any questions regarding this notice, please contact [email protected].

Paid?

Yes

Membership Application

University Information

Organization Information