Membership Form

Thank you for your interest in the Black Alumni Society!

After clicking send, you will be redirected to the Black Alumni Society Support Fund to make your $30 donation!

 

Full Name (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Phone Number (required)
Example: 1235679009

Email (required)

Interested in serving on a committee?

Are you interested in volunteering?

Graduation year and degree

Please check the box to have a self-identified attribute added to your alumni record to insure you receive Black Alumni related news and invitations from Ohio State and the Black Alumni Society.
Yes, add the attribute code.

To prevent spam, what is

Due to donation processing, you will receive communication from the society approximately 30-45 days after your payment has been processed. Also, please make sure your donation is made as a personal gift.