Register Your GSA


Fields marked with an asterisk (*) are required.
   
:*
   
:*  
   
:*  
   
:*  
   
:*  
   
 
   
Student Details
   
:*  
   
:*  
   
:*
   
:  
   
   
   
 Email Phone Call Text Message Facebook
   
 
   
Advisor Details
   
:*  
   
:*
   
:*  
   
:  
   
 
   
General Details
   
:*
   
:*
   
:*
   
:  Yes No
   
  captcha
   
Please enter the security code
   
 

You can also print and mail this registration form to:

GSAFE
122 E. Olin Ave. Ste. 290
Madison, WI 53713

Fax your registration form to:
(608) 661-1360

If you have questions, please call us at 608-661-4141.

 

 

Share
Download article as PDF

Testimonials

amy-testimonial“GSAFE’s LTI helped me become the person and activist I wanted to be, and helped me hone my skills so I could be a better leader.  I discovered myself in ways I never imagined.” – Amy, Former GSAFE Youth Activist