Online Application

Gender:

First Name: 

Last Name:

Street Address 1:

Street Address 2:

City:

State:

Zip:

Home Phone Number
(xxx-xxx-xxxx):

Cell Phone Number
(xxx-xxx-xxxx):

Intended Business Major:

CMU Email Address:

T-Shirt Size:

Why do you hope to be a part of the BRC?
 

Please list any high school extracurricular activities,
leadership experience, honors, and awards: