Seattle Chapter Membership (deprecated for Google Form signup)

Seattle AWIS Chapter Membership

To join the National AWIS organization go here.

Date of Application
Contact Details
First Name
Last Name
Email Address
Street Address
Zip Code
Phone Number
About You
Current General Field
Field of Degree
Highest level of education or current level of studies
Organization Name
Employer, school or other relevant affiliation
Job Title
e.g. "Research Associate", "Program Manager", "Student"
Are you currently a member of the national AWIS organization? ?
Chapter members who are not current students are required to join the national AWIS organization as well as the Seattle chapter. You can join at
Are you currently a student?
Please indicate if you would like more information about helping on a chapter committee:
Seattle Chapter Membership Dues (Annual): $20.00. Can be paid by online payment through PayPal ($20 plus service fee) at or by check ($20) made out to AWIS – Seattle Chapter. Mail to: Reitha Weeks, Seattle AWIS Treasurer, 4706 33rd Ave NE, Seattle, WA 98105
Payment option ?
Please tell us which payment option you've chosen, to make it easier for us to match your payment with your membership!
Membership is valid for one year from the date dues are received. All dues are nonrefundable. AWIS Seattle Area Chapter is a 501(c)(3) tax exempt organization: TIN #52-1441206. Your AWIS Seattle Area Chapter membership may be tax deductible under Section 162 of the U.S. Internal Revenue Service Code. Donations made to AWIS Seattle Area Chapter are charitable for federal tax purposes. Check with your tax professional to determine the appropriate deduction.