Membership Form

Please fill out the information below and submit it.  You will then be redirected to Support Fund (#315425) to make your $30 donation to join the society.

If you have questions regarding membership, please contact Doug Bloss at!

    Name (required)

    Street address (required)

    City (required)

    State (required)

    Zip code (required)

    Phone Number (required) Ex:(614)123-2345

    Email (required)

    Years in the Stadium Scholarship Program. (required) Ex: 1999-2001

    Stadium Scholarship Program Location

    Stadium DormMack HallScholars East/West

    I would like more information on how to get involved with SSAS.