Membership Application First Name Last Name E-mail Address Username Password Confirm PasswordPrimary Phone Number Mailing Address Professional InformationOccupation Organization/Institution Position/Title Educational BackgroundDegree(s) Held Field(s) of Study Institution(s) Attended Interests and ContributionsPlease specify your areas of interest academicallyPlease list any relevant publications, articles, or contributions to academiaPlease provide a brief statement on why you wish to join the Matheia Society and how you hope to contribute to our community.Terms & Conditions: By submitting this application, I agree to abide by the Matheia Society’s bylaws and code of conduct. I understand that my membership is subject to approval by the Society’s membership committee.I AgreeI Do Not AgreeDigital Signature Additional InformationHow did you hear about the Matheia Society?Friend/ColleagueOnline SearchMailing ListSocial MediaConference/EventPlease provide any additional comments or questions you have regarding your application. Only fill in if you are not human Login
