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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