As a member of the ISA, you will have access to social, cultural, and sports activities as well as meet people from around the world. For more information, please see the ISA Programs sheet or webiste (http://people.clemson.edu/~isa). Membership dues are $10.00 for a semester or $15.00 for the entire year.

* Name ___________________________(last) ___________________________(first)

* Nationality ______________________ Birthday _____________________________

*  Major in Clemson ____________________________________________________

Home Address ________________________________________________________

City, State, Zip Code ____________________________________________________

Home phone ________________________Campus phone _______________________

Cell phone (if different from home phone) _____________________________________

University E-Mail _______________________________________________________

In Clemson since_________________________(month/year)

Expect to stay until________________________(month/year)

I have a valid SC Driver's License: Yes No

If yes, the license # is _______________ and expires on_____________________

If you would like to contribute to the planning and execution of our program(s), please indicate your interest below and feel free to contact the officers directly for specific events if they do not contact you first.

We may publish some of your details marked * in our web page. Do you agree to publish those details?

YES                      No

Please return this form and payment to Louis Bregger
Gantt Intercultural Center in 214 Hendrix Center.
864-656-0437 (phone); 864-656-7626 (fax); blouis@clemson.edu (e-mail)