Membership Application

Congratulations on your decision to be an active voice for change! You have the courage; you have the ideas – now it’s up to us, to collectively help you transform those ideas into real change. The Roosevelt Institution at Georgia Tech is still at its emerging stage and needs your help to grow and empower us with the ability to make a difference!

Please enter the following details so that you can be added to our membership database and also indicate the policy areas in which you are interested:
FULL NAME, GT E-mail Address *

Please enter your Full name and GT E-mail Address separated by a comma. This will help us add you to our mailing list!
SCHOOL YEAR/STUDENT STATUS *
MAJOR(S)/MINOR(S) *
The Roosevelt Institution Has Several Policy Centers Open To Members. These Policy Centers Are Essentially Like A Hub For Discussion, Research, Debate Or Networking.
Please indiciate which of the following areas interest you: *
Healthcare Trade, Economic Development and Fiscal Policy Sustainability, Technology and Innovation Energy and Environment Defence, Diplomacy and Equal Justice Education and Social Policy International Affairs and Foreign Policy

You have the option of selecting more than one area.
If your area of interest is not specified please e-mail gtrooseveltinstitution@gmail.com to request that policy area as a policy center.
Why would you like to be a Roosevelter? *
Maximum Allowed: 1000 characters. Currently Used: 0 characters.

You may list your reasons in bullet form
Would you like to be a leader at GT Roosevelt? Please select the position(s) that interests you:
Public Policy Director Vice President Membership Director Secretary Webmaster Public Relations and Event Manager

For a description of these positions please visit

http://ri-gt.gtroosevelt.com/2009/01/become-leader-today.html
What other campus organization(s) are you involved in?
Great! Now that you’ve filled this application out – you are now a proud Roosevelter at Georgia Tech.

Yes, you stand out – because you’ve made the choice to make a difference and realize the potential of your ideas.

If you know anyone who might be a great fit in our organization, please feel free to forward this application form to them.

Glad to have you on board!

Don’t forget – you can find a lot of information about the Roosevelt Institution at www.rooseveltinstitution.org and about the chapter for the Roosevelt Institution at Georgia Tech at www.gtrooseveltinstitution.blogspot.com
Do Not Fill This Out

Wufoo

The Roosevelt Institution Has Several Policy Centers Open To Members. These Policy Centers Are Essentially Like A Hub For Discussion, Research, Debate Or Networking.