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The UMD ITM Club would like to keep track of its members and their participation in the club for this upcoming semester. If you have not already given us this information, please fill out this info and email it to pcdean@umd.umich.edu.
Student number:
Full name:
Email:
Major:
Minor (if applicable):
Student type (Undergraduate, graduate, or alumni):
Date/expected date of graduation:
Would you like to continue receiving emails? (Yes/No):
Any other comments:
Also, if you have an internship that you would like to share with us to help support the ITM Club as a business minded group, please also fill out this information as well.
Company:
Position/title:
Department:
Start date:
End date:
Short description:
Found through UMD’s Internship Program? (Yes/No):
Any other comments:
All information is confidential and will not be made public. Thank you for your help.



