Name:

Position/Title:

Institution:

Mailing address:
Address line 1
Address line 2
City
State
Zip code

Phone:

Fax:

E-mail address:

Are you currently a member of NAFSA?
Yes No

All new members are added to our Rainbow e-mail network.Do you agree to be added to the list ?
Yes No

I can assist the SIG by:
Doing a session at a local or regional NAFSA
Contributing to the newsletter
Organizing next year's social event
Assisting the co-chairs
Outreach
Other (please specify:

Optional Activity Fee: (Suggested amount: $10.00-20.00 to cover miscellaneous SIG expenses)
Make checks payable to NAFSA SIG and send to the address below or make a donation online through Rick Russo, the Treasurer, here.

Susan Carty, Office of Overseas Study
Indiana University, Franklin Hall 303
Bloomington, IN 47405-1223
USA