ChangeUniversity.org | New Member/Student Registration Form

Name

Username*

First Name

Last Name

Contact Info

E-mail* Please make sure that you use a .EDU email address if you are a current student at a college or university. Current students get a few extra opportunities that we are able to afford to only current students.

Password* Minimum length of 8 characters

Repeat Password*

About Yourself

Home Time Zone* Please select your home time zone.

Home Country* Please select your home country.

Home State/Province* Please enter your two-character state code if your home is in the United States. Please enter your province/region name if not in the United States.

University Please enter the name of the College or University which you currently attend.

Country of Student's University Please select the country in which you currently attend college or university.

State/Province of Student's University Please enter the two-character code of the state where you currently attend college or university if in the United States. Please enter the province or region if outside of the United States.

Timezone of Student's University Please select the timezone of your current college or university.

ChangeU Colleges* Please select each ChangeU college in which you would like to learn and participate. Be sure to use the "CTRL" key when selecting more than one college.

Issues & Solutions* Please select the human insecurity issues and solutions of greatest interest to you. Be sure to use the "CTRL" key when selecting more than one issue/solution.