* This Field is required This Field is required | This Field IS visible on profile This Field IS visible on profile | This Field IS NOT visible on profile This Field IS NOT visible on profile | Information for: ? : Field description: Move mouse over icon Field description: Move mouse over icon
Membership Application

Please be sure to fill out the application as completely as possible. 

If you don't have all of your information, such as a list of HA Publications, please let us know, the circumstances and if/when your list will be completed. 
First Name: * This Field is required This Field IS visible on profile
Last Name: * This Field is required This Field IS visible on profile
Username: * This Field is required This Field IS NOT visible on profile Information for: Username: : Please enter a valid User Name. No spaces, more than 2 characters and contain 0-9,a-z,A-Z
 
E-mail: * This Field is required This Field IS NOT visible on profile Information for: E-mail: : Please enter a valid e-mail address.
Password: * This Field is required This Field IS NOT visible on profile Information for: Password: : Please enter a valid Password. No spaces, more than 6 characters and contain 0-9,a-z,A-Z
Verify Password: * This Field is required This Field IS NOT visible on profile
Position: * This Field is required This Field IS visible on profile
Affiliation: * This Field is required This Field IS visible on profile
Street Address: * This Field is required This Field IS visible on profile
Suite/Floor: This Field IS visible on profile Information for: Suite/Floor : Any additional address info such as suite number.
City: * This Field is required This Field IS visible on profile
Postal Code: * This Field is required This Field IS visible on profile
State/Province: This Field IS visible on profile
Country: * This Field is required This Field IS visible on profile
Telephone: * This Field is required This Field IS visible on profile
HA Pub's:
To enable WYSIWYG editing you must be using a supported browser, however you may still edit the raw HTML code in the above textarea. For a full list of supported browsers please see http://www.wysiwygpro.com/browsers/
Insert {mosimage} TagInsert {mospagebreak} Tag This Field IS visible on profile Information for: HA Pub's : (REQUIRED) HA Related Publication(s) List
Your CV:
To enable WYSIWYG editing you must be using a supported browser, however you may still edit the raw HTML code in the above textarea. For a full list of supported browsers please see http://www.wysiwygpro.com/browsers/
Insert {mosimage} TagInsert {mospagebreak} Tag This Field IS visible on profile Information for: Your CV : (REQUIRED) (Please copy and paste your CV) (Note: If you are copying from Word, please paste your content into the "W" box to clean up the page code)

Thank you for applying to membership to ISHAS.  Please be sure all fields are filled.

Our committee reviews applications periodically.  You will receive confirmation of receipt shortly, however, a decision on your application may take several weeks.

* This Field is required This Field is required | This Field IS visible on profile This Field IS visible on profile | This Field IS NOT visible on profile This Field IS NOT visible on profile | Information for: ? : Field description: Move mouse over icon Field description: Move mouse over icon
Advertisement

Stay Informed

ISHAS Members Login

This login is specific to ISHAS membership. PLEASE NOTE: If you wish to register for the upcoming 2010 HA Conference or submit Abstracts for the Conference, click here.

Bylaws

Other ISHAS member run Conferences

Syndicate