Affiliation Form

Center for Design and Material Culture


Personal information

First name:
Last name:
Major (if student) or title (faculty/staff):
Department & school (faculty/staff):
Office address:
Office phone:
Email:
Website:

Areas of interest

Headshot (.jpg or .png) At least 400 x 400 px wide. Maximum file size: 2mb

Resume or CV Maximum file size: 2mb


Affiliation questions

1. Please explain why you are interested in starting, restarting, or continuing affiliation with the Center for Design and Material Culture? What benefits do you see to affiliating?

2. Please list the Center for Design and Material Culture events, programs, or committees in which you participated over the past year.

Thank you for completing this from. You can expect to hear a response with two weeks. Please contact Sherry Harlacher with any questions by emailing harlacher@wisc.edu or calling 608-890-4854.