aDShe Membership Form
This is the aDShe Membership form for new members applying for the following membership categories:
For full aDShe membership criteria and information see http://adshe.org.uk/membership/

1. Professional QA Tutor membership £65
2. Professional Assessor membership £50
Professional QA Tutor and Assessor £65
3. Affiliate membership £50
4. Student membership £30
5. AT Specialist membership £50

It is your responsibility to demonstrate you meet the criteria for the membership category you are applying for.

Your details
If you wish to be listed on the upcoming aDShe Professional Members List and Map please ensure these are the contact details that you use professionally.
First Name *
Your answer
Surname *
Your answer
Address *
Your answer
Postcode *
Your answer
Email *
Your answer
Preferred Contact Number *
Your answer
Website address (where applicable)
Your answer
About me - provide a brief description of your work and specialisms
Your answer
Photo URL - where possible provide a photo URL link for your aDShe membership listing or email a photo to admin@adshe.org.uk
Your answer
Please indicate your preferred regional group *
see http://adshe.org.uk/regional-groups/ to view regional group information
Next
Never submit passwords through Google Forms.
This form was created inside of Association of Dyslexia Specialists in Higher Education. Report Abuse - Terms of Service - Additional Terms