Group Adjunct or Part-time NYCLSA Membership Form - July 1, 2023 - June 30, 2024
Please fill out the following information for NYCLSA membership. When completed and submitted, you will asked to click a link that will take you to the payment page. This is for four part-time individuals from the same institution who will then get a fifth (part-time) membership free. 
Email *
You will be asked to fill out individual information for the four part-time paid memberships and the one free membership (five memberships total). After, some questions will appear inquiring about the institution that is seeking the group membership, along with payment. 
First membership
First Name *
Last Name *
Pronouns *
Current Email Address

*
Your Current Work Title/Position *
Work Phone Number *
Cell Phone Number *
Your Department *
Are you interested in helping with your Hub?  *
Are you interested in serving on a NYCLSA Committee?  *
Are you interested in serving as a peer reviewer for articles submitted to our scholarly journal FIRST (Forum for International Research on Students and Teaching) *
Are you interested in running for a Board position?  Details can be found here: http://www.nyclsa.org/board.html  *
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