Instructional Technology Scholars Association Membership Form
Please fill out the following form as completely as possible. This is intended as a way to organize membership in the ITSA each year. A listserv will be created based on the email provided used to send meeting dates and times, discuss officer elections and other communiqué.
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Name *
Email *
Website
If you have a personal website, place it here.
Academic Institution *
To what university, college or school do you attend?
Program *
Advisor *
Year in program (total) *
Choose which year you are in your program of study
Area of study *
Very briefly note the field in which you study
Research
In more detail, you may describe the areas of interest in which you do research or study
Employment Sector
If you work full time, please state the sector in which you are employed.
Clear selection
How did you hear about the ITSA?
What are you looking to get out of membership in the ITSA?
This helps the association find directions in which to move and plan for the future. Be as verbose as you like!
Membership agreement *
By checking the following box you are agreeing to the following:  you understand that membership in the ITSA requires a $5 annual due payable to the ITSA treasurer. This money is used to pay for various organizational fees like refreshments, domain registration or honorariums for guest speakers. This membership runs out on the first day of the fall term in the following year.
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