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<title>IEEE Student Chater | University of Alaska Acnhorage</title>
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<title>IEEE Student Chater | University of Alaska Acnhorage</title>
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<body> 
<p>Please fill up this from to joing UAA IEEE Student chapter. </p>
<p>It is free. Required fields are marked with * </p>
<form name="application_form" method="post" action="applyProcess.php">
  <p>First Name: 
    <input type="text" name="f_name"> 
    *
</p>
  <p>Last Name: 
    <input type="text" name="l_name"> 
    *
</p>
  <p>Email: 
   &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="text" name="e_mail">
*  </p>
<p> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Username: 
  <input type="text" name="u_name">
   ( For blog account ONLY)</p>
<p>
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
	Password: 
	  <input type="password" name="password">
      ( For blog accoun ONLYt)</p>
  <p>Major: 
    <select name="select_major" size="1">
      <option>Computer Science</option>
      <option>Electrical Engineering</option>
      <option>Computer System Engineering</option>
      <option>Mathematics</option>
      <option>Other Engineering</option>
      <option>Other Science</option>
      <option>Not Listed here</option>
    </select> 
    Other: 
    <input type="text" name="major_not_listed"> 
    *
</p>
  <p>Minor: 
    <input type="text" name="minor"> 
  </p>
  <p>Current Year: 
    <input name="college_year" type="radio" value="Freshman" checked>
Freshman 
<input name="college_year" type="radio" value="Sophomore"> 
Sophomore 
<input name="college_year" type="radio" value="Junior">
Junior
<input name="college_year" type="radio" value="Senior"> 
Senior</p>
  <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Expected Graduation: 
    <input type="text" name="graduation">
 (Format: Fall 2009) * </p>
  <p>Comment: <br>
    <textarea name="comment" cols="35" rows="3">
</textarea>
  </p>
  <p>
    <input type="submit" name="submit" value="Apply">
    <input type="reset" name="Reset" value="Clear">
  </p>
</form>
<p>&nbsp;</p>
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</body>
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