Delaware (OH) AAUW Membership Application

(Please Print)

Last Name: _________________________     First Name: _________________________ MI: ___


Spouse/Partner Name: _______________________ Maiden Name:_______________________


Address: ___________________________________ City: _____________________________


Zip Code: ___________________                                 Home Phone: _________________


Cell Phone:________________ Email Address: _____________________________________


Date of Birth (month/day): ________________


College/University: __________________________________________


Campus Location:____________________________________________


Degree:____________ Year of Graduation: ______________ Major(s):____________________


Additional College/University/Degree/Year/Major (s):


Previous AAUW Membership: Yes: ___   No:___


Previous Branch or Member at Large (if Yes): ________________________________________


Name used if different than above: _____________________________________


Dates of Previous Membership or AAUW Membership Number: __________________________


Type Membership (See Annual Dues for type and amounts):______________________________


Please print this page and mail completed form w/ check for the appropriate dues made out to “AAUW Delaware, OH Branch” to Finance Officer:

Constance Richards 

4561 Olentangy River Road

Delaware, OH  43015.

If you have other questions, contact Ann Elliot, Membership Chair: or 740-369-4057


Student Affiliate Applicants Only:

College Attending:_____________________________________ Years Completed:___________