ECS Student Chapter Membership Online Application

ECS offers Student Memberships to current Student Chapter Members. Eligible students must be full-time undergraduate or graduates registered for a degree in natural science, engineering or a full-time postdoctoral student in natural science or engineering (for up to two years).

Student Chapter Memberships are renewable annually; applicants must reapply each year. Memberships include subscriptions to all ECS journals online, and Interface.

 

First(Given) Name: Middle Name: Last(Family) Name:

 

Birth Month : Birth Day : Birth Year (xxxx) :

Mailing Address Line 1:

Mailing Address Line 2:

Mailing Address Line 3:

City:

State/Province:

Country:

Postal Code:

Phone Number:

 

Fax Number:

 

E-mail Address:

 

Education Information:

School Attending Division Department

 

School Address Line 1:

School Address Line 2:

School Address Line 3:

City:

State/Province:

Country:

Postal Code:

 

Year in School:

 

Major Subject:

 

Faculty member attesting to eligibility of student:

Name: E-Mail

 

Please Choose a Division:

 

 

I verify all of the above information is correct.