Associate Membership

$ 79.00 - Individual Associate Membership Fee

Individual Associate Membership

Institution / Organization

Institution Name *

Existing Office

Create New Office

URL

Institution E-mail

Type of Institution *

Contact Information

Gender

Honorific

First name *

Last name *

Primary Phone *

E-mail (Note: This will be your Username) *

Title *

Twitter

Address

Address Line 1 *

Address Line 2

City *

Province *

Postal Code *

Country *

In what language would you prefer to receive membership materials and communications? *

English

French

Profile Information

Highest level of education achieved? *

Years in student affairs *

Area of Expertise

I am interested in becoming more involved with CACUSS as a volunteer

Yes

Privacy Information

Do you consent to receive email communications from us regarding association/industry news, professional development opportunities and partnering organizations?

Yes

Do you consent to have your directory information available for other members to view? If you select no, your profile information will only show to administrators.

Yes

Do you consent to your basic directory/profile information being shared with our Community of Practice platform "Higher Logic"?

Yes

Who can view your profile? *

Do you wish to receive printed (mailed) copies of CACUSS publications i.e. Communique Magazine?

Yes

Account Password *

Password must be a minimum of 6 characters long and contain at least 1 uppercase letter, 1 lowercase letter and 1 number.

Password

Confirm password

Referred by a CACUSS Member? Name of Member: