Commuter Student Services Mailing List Form

*First Name:
*Last Name:
Middle Initial:
*Email:
Major:
Classification:
*Marital Status:
Birthdate: [MM/DD/YYYY]:
Gender:
Where do you commute from?
*City:
*State:
*Zip:
*How did you hear about us?:
Do you have children?:
If So, How many?
# of Children:
Please list the age and gender of each child in the box below.
Child Age and Gender:
Are you interested in one of our student organizations on campus? (Check all that apply).
Student Organizations:		UCOMMUTE Council Bronchos With Kids Non-Traditional Student Association

Commuter Student Services