CSA MEMBERSHIP APPLICATION
    Type of application: NewRenewal  Type of membership: Regular($25)Lifetime($200)Associate ($10) 
    Your full name (English): Your full name (Chinese):
    Affiliation and Title (University/organization):
    Degrees earned:Ph.D. or equivalentMSBS Year of Ph.D., or highest equivalent earned:  
    Academic qualification details, including year of your degrees awarded, majors, and name of universities:
    Office Address
    Address:
    City: State / Province / Region:
    Zip:  
    Phone Number: Email:
    Home Address (optional)
    Address:
    City: State / Province / Region:
    Zip:  
    Phone Number: Email:
    1. Preferred contact method: EmailPhone


    2. Employment, including year, job title, institution, addresses (optional):


    3. I am interested to get involved in: (Please check as many as apply) Annual assembly and spring gatheringForums, symposium, seminarsPublicationsSocial science committeeOutreach activitiesSocial gatherings, open houseChina delegation (conference, lectures, visit)WebmasterScience & Engineering committeeFundraising


    4. Resume upload (optional):


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