Please fill out completely to join or to remove yourself from our committee. Questions? Contact Monica at ypc@aiche.org. First Name * Last Name * Email * Gender * - Select -FemaleMale Birthdate * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Select one of the following that applies to you: * "I am not an AIChE member or am over 35, but I still want to be informed about YPC events." "I am an AIChE member under age 35 and want to be informed about YPC events." "I have been elected or appointed to an office." "Please remove me from the committee. I do not want to be informed about YPC events." If you have been elected or appointed as an officer, what is the name of your new office?