REGISTER your GSA with GSA Network First, please enter the string shown in the image in the form. The possible characters are capital letters from A to Z. NOTE: Make sure to CLICK the Validate button BEFORE your proceed. If you do not, your form will not be submitted correctly.     Your email address: Name of your school: City: State: Name of your club: Student leader's first and last name: Student's graduation year: Student's email: Student's phone number: Student's address, city, state and zip code: Check here if we need to be discreet when contacting student Advisor's name (you can enter more than one): Advisor's email: Advisor's phone number at school (including area code): Advisor's phone number at home (including area code): Tell us about how and when your GSA got started: Tell us how GSA Network can help your GSA: Any other comments: NOTE: If you did not click Validate at the beginning of your application, it did not get processed properly. Please reset and hit Validate before filling out the form. You can also print and mail this registration form to: GSA Network 1550 Bryant St., Suite 800 San Francisco, CA 94103 Fax your registration form to: 415.552.4729 If you have questions, please contact: register@gsanetwork.org or call 415.552.4229

For more information or for hard copies of our resource sheets, contact GSA Network: Statewide Office: 1550 Bryant St, Suite 800, San Francisco, CA 94103, ph: 415.552.4229, fax: 415.552.4729 Central Valley Regional Office: 928 N. Van Ness Ave., Fresno, CA 93728, ph: 559.268.2780, f: 559.268.2786 Southern California Regional Office: 1145 Wilshire Blvd #100, Los Angeles, CA 90017, ph: 213.482.4021, f: 213.482.4027