.:UC DAVIS BUSP:.

UC Davis BUSP

BUSP Registration

*The following information is required* to register on the Member Center:**
Date of Birth: MO DAY YR
Last four digits of SSN:

Please choose a question and answer that can be used to reset your password.
Question:
Example: What is your mother's maiden name?

Answer:
Example: Smith

Username

Password
Password again

The remaining fields on this form provide optional information. It will allow you to better serve as a resource and communicate with former and current BUSPers, but is not required to register:
Name:	First MI Last Maiden (Optional) Current BUSP Student BUSP Graduate / Year of Graduation
Address	Street City State Zip Code
Phone	- - Home - - Cell
Email	1) You have my permission to list this email address in the BUSP People Finder.(Optional) 2) You have my permission to list this email address in the BUSP People Finder.(Optional)
Occupation	Leave None if student (Optional)
Industry	Leave None if student (Optional)
	I am willing to serve as an on-line resource to other BUSP participants.

Parent/Contact (All fields optional)

Name:	First MI Last
Address	Street City State Zip Code
Phone	- - Home - - Cell
Email