Membership application form

Title (Prof./Dr./Mr./Ms.)

First Name*

Middle Name/Initial

Last Name*

Last Name while at Harvard (if different)

School at Harvard* (please scroll; to select multiple, hold shift/CMD and click)
Harvard Business SchoolHarvard CollegeHarvard School of Dental MedicineHarvard Divinity SchoolHarvard Extension SchoolHarvard Faculty of Arts and SciencesHarvard Graduate School of DesignHarvard Graduate School of EducationHarvard Graduate School of Arts & SciencesHarvard School of Engineering and Applied SciencesHarvard Kennedy SchoolHarvard Law SchoolHarvard Medical SchoolRadcliffe Institute for Advanced StudyHarvard School of Public Health

Harvard Degree/Affiliation*

The year your (first) degree was awarded*

Years at Harvard*

Place of current residence (add country, if not Finland)*

Current employer

Work title

Mobile number*

Preferred Email*

Alternate email

I confirm that all the information I gave above is true. I consent that the Club may use my membership application to assess my eligibility for membership. In case my membership is accepted, I consent that my information is stored to Club's membership directory until I revoke my membership in the Club.

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