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. 

Please enter your first and last name.
Please enter your home phone number in the following format: (608) 246-6576
Please enter your cell phone number in the following format: (608) 246-6576
Enter your street address (Example: 3550 Anderson St.)
Enter your 5-digit zip code
Enter the e-mail address you would like us to use to contact you
Please list the campus where you attend most of your classes
What program are you attending at Madison College?
Please indicate which Yahara Journal staff roles interest you the most.