APPLICATION FOR STUDENT MEMBERSHIP

By completing and submitting this form you are subscribing to the Purpose and Basis of IAPCHE, and agreeing to support this unique ministry of networking Christian higher education around the world.

This form may be used to enroll as an student member. If you are interested in institutional, associate, or consulting membership, please e-mail iapche@dordt.edu.

To enroll as an individual or affiliate member, click here. If you wish to renew individual/affiliate membership, click here.

Complete the form below. Note * indicates required fields.

* Title: (Mr./Mrs./Dr./Prof./Rev./etc.) 

* Position:

* Postal Address:

Home Phone:

Website:                                                                 

* Name:

* Institution:

 * Office Phone:

FAX Phone:

* E-mail address(es):

* Discipline/Research Area:

Dissertation (working title if available):

Student members will receive a listing of IAPCHE members who share the same research area. They will also receive Contact, IAPCHE's newsletter. Indicate how you prefer to receive Contact:

E-MAIL--An e-mail message is sent when a new issue is posted. You may choose to read online or download the PDF version.

PRINT--A printed copy is sent by postal mail.

Printed copies will arrive 2 weeks to 2 months later than the website and e‑mail versions.

Mark all that apply:

Please send information about IAPCHE to others who would be interested.

        You may may not use my name as a reference.

        Names, addresses (e-mail preferred):

      1. 

      2.  

      3. 

      4.  

I would like to submit relevant information for possible publication in Contact.

I am willing to have my name given to fellow scholars for the purpose of sharing ideas.

Dues--$25U.S. for two-year membership. Donations are also welcome.

Methods of payment: credit card, check in U.S. dollars, bank transfer.

In case of financial hardship, you may also request that your annual dues be waived.

Additional Comments and/or Questions.

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