Health And Physical Education Club (HPE)Health And Physical Education Club (HPE) Health And Physical Education Club (HPE) Membership ApplicationName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GSU Email* Cell PhoneCan we text you?* Yes No T Shirt Size* S M L XL XXL Expected Graduation DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Career PathAre you interested in serving on the Executive Board?YesNoAre you interested in attending conferences such as GAHPERD and the National SHAPE America Convention?YesNoConsent* By clicking you are agreeing that everything in this form is correct and will be used as your signature.Date of Consent* Date Format: MM slash DD slash YYYY All Information provided by applicants will be kept confidential. Please make checks out to Georgia State University and thank you for joining. CAPTCHA