Membership Application

Submit by Email to the International Club Staff Advisor
International Club Membership Application
Thank you for completing this application form and for your interest in being an International Club
member! Please submit this membership form to the International Club staff advisor.
Contact Information
Name
Street Address
City, ST, and ZIP Code
Home Phone or Cell Phone
ATC E-Mail Address
Academic Information
Current Program of Study
Expected Graduation Date
Are you a full time or part
time student?
Volunteer Interests
Planning the International Festival, which is held each November
Planning events sponsored by the International Club
Fundraising
Communications
Volunteer coordination
Why do you want to join the International Club?
In the box below, please express why you want to join the International Club. If you have any event
ideas that you would like for the International Club to have, please provide your suggestions.
If there is a country that you have expertise in, please write the name of the country (or countries).
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Print Form
Person to Notify in Case of Emergency
Name
Relation to Student
Street Address
City, ST, and ZIP Code
Home Phone /Cell Phone
Work Phone
Agreement and Signature
By completing this form I certify that I have met all membership eligibility requirements listed below.
Eligibility. Membership in the International Club shall be open to all currently enrolled students who
have an interest and is willing to contribute to the purpose of the International Club.
Membership Rights and Privileges. Membership in the International Club allows entitlement to:
a) Ability to vote in all elections and to enjoy other rights and privileges accord to all members
b) Eligibility for officer positions
c) Participation in all International Club activities
d) Inclusion of International Club email distribution list
Name (printed)
Date
Our Policy
This information is collected so that the International Club can provide better service to its members.
Athens Technical College will protect the confidentiality of this information and the information will be
used for official school use only.
The Technical College System of Georgia and its constituent Technical Colleges do not discriminate on
the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political
affiliation or belief, disabled veteran, veteran of the Vietnam Era, or citizenship status (except in those
special circumstances permitted or mandated by law).