Membership Form

Thank you for your support the Young Scholars Program Alumni Society!
After submitting your application you will be redirected to the Young Scholars Program Alumni Society Endowment Fund to make your $30 donation.

    Name (required)

    Date of Birth (required)

    Address (required)

    Email (required)

    Phone Number (required)

    YSP Induction Class (required)

    YSP Induction City (required)

    Ohio State Degree (required)

    Graduation Year (required)

    Current Employer

    Position

    Employer City

    Employer State

    Employer Zip Code

    Willing to mentor?

    YesNo

    Willing to support internship opportunities?

    YesNo