EqualityWM Membership Form

Please take a few moments to fill out our membership form. This form will be used to establish a current and accurate account of our membership. Membership in EqualityWM will be the mechanism by which we build the listserv. If you would like to be on the listserv but only wish to disclose your name, email and role on campus, that is fine.

You can find a copy of our Constitution here: http://www.wm.edu/sites/equalitywm
Personal Information
*Role on Campus
Do you want your membership in EqualityWM to be public? Your name, department and title would primarily be used on a resource page for students, faculty and staff (in a similar fashion to the Center for Student Diversity's listing of faculty and staff of color as a resource guide for students).
EqualityWM Information
What is your interest in EqualityWM?
Would you be interested in service through EqualityWM? This could be through representation on committees, panels, at Breakfasts with the Provost, or other opportunities.
Do you wish for your directory information as it pertains to your membership in EqualityWM to be confidential?
Do you want to be added to the EqualityWM Listserv?
4500 characters maximum

Please type the following word (no spaces) into the box provided.

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