MSU-SCAVMA Membership Application Form

   Last Name      First Name    

   Maiden Name      Gender  Male  Female

Address 

   City        State       Zip Code 

   Vet school class of     Select 2011 2010 2009 2008 2007           What state are you from? 

   Birthday:   Month   Select January February March April May June July August September October November December      Day  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31      Year    

   Chose one or more SCAVMA committees you would like to serve on:

                  Financial committee                           Food committee

                  Social committee                                 Activities committee

                  World Rabies Day 5K run                  Public relations committee

                  Open House                                           All College Day

During finals week, SCAVMA will be delivering "Finals Week Care Packages" to      those students who wish to participate.  We will send an email to your families during the beginning of the fall and spring semesters with a price list of items to include in your personalized package.  If you would like to receive a package from your family, please enter their name and email address below.  Feel free to enter as many names as you want.  These packages are a great way for your families to support you at such a rigorous time!

**Note:  We prefer you provide email addresses to save time and money on postal supplies.  However, if your family member or significant other does not have an email address, we will mail a letter to a postal or street address.  Thanks!