USHPCN New Member Information
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Email *
First Name
Last Name
Do you currently work at a college or university?
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Institution or Organization Name
Please enter the name of your campus. If you do not work in higher education, the organization or company you work for. 
State
Please enter the U.S. state where your institution or organization is located. 
What is your current position or role?
What email address would you prefer to receive USHPCN emails?
This is the email we will use for the listserv and general network communications. This is often your campus/organization affiliated email address. 
Google Drive Access Information 

To give you access to USHPCN resources in our shared Google Drive, we need an email address that is connected to a Google account. Please enter one of the following:

  • Your institution-provided Google account (if your campus uses Google), or

  • An email address that you have linked to a Google account, or

  • A personal Gmail address

If your institution does not use Google and your work email is not currently connected to a Google account, you can:

  • Either provide a personal Gmail address, or

  • Create a free Google account using your work email address and enter that here.

Note: We use a separate system for email listserv communication. This email address is only for access to the shared Google Drive.

Email connected to Google Account
How did you hear about the USHPCN?
By submitting this form, you agree to be added to:
A copy of your responses will be emailed to the address you provided.
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