Membership Interest Form If you are interested in becoming a member of the Council for Diversity and Interculturalism (CDI) for the 2017-2018 academic year, please complete the following membership interest form. Your Name*E-mail Address*Phone Number*UT Affiliation*FacultyStaffGraduate StudentUndergraduate StudentDepartment, Unit, or Academic Major*Were you a member of CDI in the past?*YesNoIf you served on CDI in the past, Please list the academic years that you served. (i.e., 2006-2007)Why are you interested in being a member of the council?*What are some skills and perspective that you would bring to the council?*Are there any other organizations or groups that you have been involved with that can benefit the council?*2016 + 0 =*Please do the simple math/calculation to answer the Anti-Spam Verification question above. This will allow us to ensure that the form is submitted by a real person; not by a web robot. NameThis field is for validation purposes and should be left unchanged.