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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*
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*
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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