PUSO Membership Form 2026-2027

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Hi everyone! Thank you for your interest in joining the Pilipinx Pre-Health Undergraduate Student Organization (PUSO)! Please fill out this membership form to make you eligible for member-exclusive opportunities (PUSO families, GMR, mentorship program, and so much more). ⋆｡𖦹 °.🐚⋆❀˖°

If you have any questions or concerns, please do not hesitate to contact Co-Secretaries Arnel Ruaro (626) 561-5081 and Mimiko Ye (209) 650-8514.

Stay in touch with us!

Linktree: https://linktr.ee/pusoatuci
PUSO Website: https://pusoatuci1.wixsite.com/online

PUSO Instagram: @pusoatuci

PUSO Photo Dump IG: @pusobooth

First Name *

Last Name *

Preferred Pronouns *

he/him/his

she/her/hers

they/them/theirs

Other:

Year *

1st

2nd

3rd

4th

Birthday

Date

UCI Email *

Phone Number *

Major *

Instagram Handle *

Would you be interested in buying a PUSO shirt? (Included in membership fees) *

Yes

Maybe

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