EPHEA Membership Application
EPHEA is an incorporated association which supports the work of equity practitioners. Annual membership assists EPHEA to manage and support core activities and potential special projects.
Membership fees are charged on a calendar year and are tax deductible if not covered by your institution.
Information on membership levels, costs and benefits is listed at
www.ephea.org/membership
Please complete the membership form and we will add you to the membership database and email list.
* Required
Email address
*
Your email
Are you:
*
Applying for membership
A current member changing/updating your details
First name
*
Your answer
Last name
*
Your answer
Position
*
Your answer
Employer
*
Your answer
Country
*
Australia
New Zealand
Membership type
*
Full member (ft) - for current full time Equity Practitioners
Full member (pt) - for current part-time Equity Practitioners
Associate - academics, adjuncts, retired Equity Practitioners
Student (in a relevant discipline)
Are you applying as:
*
an individual (and paying membership fees personally)?
as part of an institutional membership?
Please add me to the EPHEA email listserv
*
Yes
No
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of EPHEA.
Report Abuse
Forms
