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GENERAL/CONTACT INFORMATION

Student First Name:
Student Last Name:
Email:
Primary Phone:
School Mailing Address:
Address 2:
City:
State:
Zip Code:
Birthdate:	[MM/DD/YYYY]
Gender:
Race/Ethnicity:
*If other, please add other race/ethnicity here:

SCHOOL/DEGREE INFORMATION

School Name:

School Campus Location:

Major:

*If other, please add other Major here:

Minor:

*If other, please add other Minor here:

Degree Type:

Graduate

Undergraduate*

*If Undergraduate, what Academic Year?:

*If other, please add other Academic Year here:

Anticipated Graduation Date:

[MM/DD/YYYY]

PARTNERSHIP OPTIONS

Please be mindful of the partnership option you select as you will continue to have access to your Choose Chicago Student Partnership account and all of its resources for only six months past your graduation no matter the package you select. For example, do not select a 4-year membership if you are graduating one year from now. Select the partnership package which best aligns with your payment abilities and graduation plans. Partnerships can be renewed through your graduation date.

Partnership Type:

Please select one

TERMS OF AGREEMENT

Student Partnership with Choose Chicago is held in the name of the student entered under the "Partner Information" section of this application. Any benefits of this partnership such as Choose Chicago reports, communications, and events are limited to that name. Student Partnership benefits do not begin until receipt of completed online application and full payment for your partnership investment. Your partnership dues payments must be made via a credit card. Checks and cash will not be accepted. Online applications are approved within 48 business hours unless otherwise noted.

Choose Chicago reserves the absolute right to cancel an existing Student Partnership or reject a Student Partnership Application that it, in its sole judgment, deems inappropriate.

Refunds for your Choose Chicago Student Partnership are not guaranteed and will be judged case by case.

Your Partnership investment is deductible from income tax returns as a business expenditure. Pursuant to Section 6033 (e) of the internal Revenue Code, please be aware that an estimated 1.3% of your partnership dues are allocable to lobbying expenses. Pursuant to Section 162 (e) of the Code, this amount may not be deductible for income tax purposes.

I have read, understood, and accept the above TERMS OF AGREEMENT