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Name of New ASA Student Chapter: (for example, MyState University ASA Student Chapter)
State: Zip:
School Information
Institution Name:
City/State/Country:
Faculty Advisor Information
Name:
Title:
Email:
Phone:
Student Chapter President Information Name:
Level (Grad, UG, or High School):
Email:
Mailing address:
City:
Make sure to attach this PDF to your email.
Promoting the Practice and Profession of Statistics®
Application for New ASA Student Chapter Submit to [email protected]