Join – MTSMA

Registration

Your name *

Your email address *

Pronouns

AffiliationInstitution or home location

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Type of Membership *Full-time faculty ($25)Part-time faculty/independent researcher ($0)Graduate/undergraduate student ($0)

Demographic Data

If you choose, please fill out the demographic data to help the society understand our membership. If you choose not to provide this data, select “Prefer not to answer” for each question. This information will be kept anonymous.

Do you identify as part of the LGBTQ+ community? *YesNoPrefer not to answer

Ethnicity (select all that apply) *AsianBlack and/or African AmericanHispanic, Latinx, or SpanishMiddle Eastern or North AfricanNative American (including North, Central, or South American), Alaskan Native, or First NationNative Hawaiian and Pacific IslanderWhiteI do not identify with any racial/ethnic categoriesPrefer not to answer

Do you identify as a person of color? *YesNoPrefer not to answer

Interest in serving on committee(s) *Yes – committeeYes – program committeeYes – conference session chairNo

Finish and pay

Your selections

{radio-1}

Grand total

$

Membership dues