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Hoosiers for Higher Education Join
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Sign Up Now and Get Involved With HHE

Complete the following form to register as a member of Hoosiers for Higher Education. Your support will be entirely non-monetary. All items in bold must be filled out in order to process your registration form.

First nameMiddleLast Name

(Home voting address is needed to match with your local legislative districts.)
Home Street Address
City
State
Zipcode
Home Phone
E-mail address
Fax
Daytime Phone
I will help by (check all that apply): Attending meetings
Making phone calls
Recruiting fellow alumni and friends
Volunteering as a community captain
What is the best way to contact you? E-mail
Fax
Home Phone
Daytime Phone
List any state legislators you know:

If you are an IU student, please also complete the following:
Campus Address
City
Zipcode
Campus phone
Please list any campus organizations to which you belong
Expected date of graduation:Month
Year
T-shirt size: S
M
L
XL
XXL
(If you are an IU student, by providing your e-mail address, you agree to be placed on the HHE student member distribution list.)

** If you are the parent of an IU student(s), please also complete the following:
Student's name:
FirstMiddleLast
Year in school:
2nd student's name:
FirstMiddleLast
Year in school:

Indiana University for Indiana's Future
webmaster: hhe@indiana.edu
© 2002, the trustees of indiana university
Last updated on Wednesday, April 24, 13:23