Student Membership Application

Username *

Email *

Password *

Password

Confirm Password

Personal Information:

(for accounting purposes only)

Applicant Name *

Surname, Mr/ Mrs/ Miss/ Ms, Given Names

Former Surname *

Residence Address *

City/Province *

Postal Code *

Phone Number *

Educational Institute *

Address *

Program Enrolled in *

Leading to *

Degree
Diploma
Full Time
Part time
Program Length
Other

Other

Program Length *

Present Year *

Year of Graduation *

Information for IDAS membership directory – published yearly

Name *

Address *

City/Province *

Postal Code *

Email *

Phone Number *

Fax *

Send Correspondence via email to *

Institute Address
Residence Address

Consent and authorization for the collection, retention and use of information. IDAS is committed to protecting the privacy and confidentiality of the personal and business information of its members. Application documents and information pertaining to education and work experience will be for internal use only.

I certify that the information given in this application is complete and correct to the best of my knowledge. If accepted, I agree to abide by the Code of Ethics and By-Laws of this Association.

Signature *

Date *

Please Contact : Vice President – Membership Services
Idasvpmembership@gmail.com

Application Fee: No Charge

Membership Fee: No Charge

Mail your completed forms to: IDAS Treasurer C/O PO Box 39141 Lakewood PO,Saskatoon,SK S7V 0A. You may also email to: idastreasurer@gmail.com

If you have any questions please email us at: idasvpmembership@gmail.com

Volunteer Opportunities

Please indicate which of the following committees you would like to participate in *

CEU Committee
Lunch & Learn
Events Committee
Mentor Program
NCIDQ Support
Publications
Website
Membership
Public Relations
Other

Other

Student Membership Application

Personal Information:

Information for IDAS membership directory – published yearly

Volunteer Opportunities

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