Yahara Journal Interest Form

Please complete the contact information portion of this form, then indicate which roles on the Yahara Journal staff interest you the most. Our advisor or editor will be in contact with you shortly to invite you to one of our meetings and to let you know more about being a part of the Yahara Journal staff.

Name (Required)

Please enter your first and last name.

Home phone (Required)

Please enter your home phone number in the following format: (608) 246-6576

Cell phone

Please enter your cell phone number in the following format: (608) 246-6576

Street Address (Required)

Enter your street address (Example: 3550 Anderson St.)

City (Required)

Zip Code (Required)

Enter your 5-digit zip code

E-mail address (Required)

Enter the e-mail address you would like us to use to contact you

Primary campus

Please list the campus where you attend most of your classes

Field of study

What program are you attending at Madison College?

Yahara Journal staff roles (Required)

Editing Team

Marketing & Events

Web Master

Writing Groups

Please indicate which Yahara Journal staff roles interest you the most.

Leave this field blank

Yahara Journal Interest Form

Madison College

#madisoncollege

Information for: