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HCSV Online Membership Form
Building the Harvard Community in Silicon Valley
If you wish to join the Harvard Club of Silicon Valley, please fill out the following form and follow the instructions for payment.
Step 1. Membership Form
Account Information
E-mail Address
*
Password
*
Confirm Password
*
Membership Level
*
Regular ($35)
Patron ($100)
Sponsor ($50)
Recent Graduates (Class of 2005 or later, $25)
Students ($15)
Member Directory
*
Include my profile in member directory
Show profile details
Personal Information
First Name
*
Last Name
*
Occupation
Company
Address
City
State
Zip
Home Phone
Mobile Phone
Work Phone
Fax
Post E-mail Address
@post.harvard.edu
Additional Information
Undergraduate
Degree and Year
Graduate
Degree and Year
Harvard School Attended
*
Harvard College
Graduate School
Business School
Dental School
School of Design
School of Education
JFK School of Government
Law School
Medical School
School of Public Health
Spouse/Partner Name
His/Her Occupation/
Company
Hobbies and Interests
I am interested:
(Check all that apply)
Community Service
Membership
Mentoring
Interviewing
Board of Directors
Activity Planning
Diversity Events
Newsletter
Recent Graduates
Web Support
Career Counseling
Harvard Book Awards
We are always looking for new volunteers and resources to plan additional events.
If you would like to help out, please indicate any areas that you would be interested in by filling out the following:
I'd be willing to share my expertise (travel, hobby, or professional) or help plan an activity regarding:
I would be willing to make the following available for future club events: (Please include seating capacity)
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