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Thank you for registering as a member of AcademyWomen! Please take a few minutes to thoroughly complete the entries below so that we can tailor our programs to best suit your needs and interests. Your privacy is important to us. We guarantee AcademyWomen will never sell nor distribute your personal data to third parties without your consent.

GENERAL INFORMATION

* First Name:

* Last Name:

Maiden Name:

* Gender:

Marital Status:

Number ofChildren
(If any)?

*Race/Ethnicity:

Age:

*Highest Education Level:

Current Street Address:

City:

*State/Province/FPO/APO:

*Zip/Postal Code:

*Country:

Home Phone:

Work Phone:

Cell Phone:

CAREER INFO

*Commissioning Source:

*Branch of Service:

*Duty Status:

*Highest Rank Achieved:

*Experience Level:

*Year Commissioned:

Current Industry:

Functional Area(s):

(Press and hold the control key to select multiple functional areas)

Current Unit/Company/ Firm:

Current Job Title:

VOLUNTEER PARTICIPATION

Each year AcademyWomen members volunteer their efforts in support of our programs that help thousands of current, former and future military officer women and the military community achieve new levels of success. Whether you have 5 minutes, 5 hours or 5 days to spare, we welcome putting your talents to good use. Become an AcademyWomen volunteer today!

Are you interested in volunteering?

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OPT IN/OUT OF AW CONTACT WITH YOU
Please click on the box(es) to receive email notifications for the following opportunities:
Quarterly eNewsletter Yes, please send emails No, please DO NOT send emails Career opportunities Yes, please send emails No, please DO NOT send emails Upcoming events (i.e., OWLS, Career Workshop) Yes, please send emails No, please DO NOT send emails Surveys and Polls Yes, please send emails No, please DO NOT send emails Updates and Announcements Yes, please send emails No, please DO NOT send emails Public Relations Yes, please send emails No, please DO NOT send emails

USERNAME AND PASSWORD
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* Password:		* Confirm Password:
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* Secondary email:	I don't have a secondary email address
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