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Ukrainian Students’ Club

Membership Form

Please fill out the following on-line form to join the CLUB for the 2002-03 academic year. Membership will be valid until August 31, 2003. After applying, you will get your membership card at the following event if possible, or other arrangements will be made. Membership is $5.

If you are not currently a student in the Ottawa-Carleton area, and you are filling out the form for fun or to show solidarity, have you considered leaving a note in the Guest Book instead?

With membership, you get:
I Am Ukrainian sticker

First Name: Last Name:
ID #: E-mail:
I am a student at
Phone 1: Phone 2:


Year of study:
Favourite Colour:
Favourite Drink:
Are you Ukrainian?
Do you speak Ukrainian
Can we contact you for help?

Which of the following intramural sports would you be
interested in playing with the USC? (Check all that apply)


Why did you join the Ukrainian Students' Club?
(Check all that apply)
I AM Ukrainian
My BF/GF is Ukrainian
For the events
For the cultural aspects
Peer Pressure
I left my heart in Dnipropetrovsk
If you have a website, please include the URL: