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C.A.S.A.
Chaldean American Student Association
of the
University of Michigan - Dearborn
Just complete this form. Click on Submit when ready to send.

Name: Phone: -
Address: D.O.B.: /
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YYYY
Email:

Current Level: Freshman Sophomore Junior Senior Graduate
Current School: CASL Management Engineering Education

Current Major: Current Minor:

Career Intentions:
How many past years have you been a member of C.A.S.A.?

Are you willing to be a reference to other C.A.S.A. members regarding school, community service, etc.? Yes No

Are you chaldean? Yes No

If not, are you sponsored? Yes No By whom?

This organization will collect a membership fee of $10.00 per semester for all enrolled members.
By clicking the submit button, you agree to the Articles of the Constitution and also agree that any negative voicing of opinions are grounds for your dismissal from C.A.S.A.