Dialogue Membership Form
Dialogue is a social network wholly owned by Moral Injury Support Network for Servicewomen, Inc. The information you provide on this form is only for Moral Injury Support Network for Servicewomen, Inc.'s use and will not be sold or given to another organization or person.

Please answer the questions below to set up your Dialogue user account. Contact droberts@chaplainconsultants.com if you have any questions.
Sign in to Google to save your progress. Learn more
Year of Birth *
Please provide only the year of your birth. You must be at least 18 years old to be a member of Dialogue.
Email address *
Password: pa$$word
Your first password is pa$$word. It is recommended that you change it when you log in the first time.
Username *
Enter the username you will use to log in to Dialogue.
Name *
A short biography (optional)
Provide a 200-300 word biography to introduce yourself to other members (optional).
Twitter handle
(optional)
Facebook handle
(optional)
Instagram handle
(optional)
LinkedIn handle
(optional)
Phone Number
Providing your phone number is optional, but will enable Dialogue administrators to contact you if needed to discuss your account. No other users will see your phone number.
Occupation
(Optional) This information will be displayed on your profile for other users to see.
Employer
(Optional) This information will be displayed on your profile for other users to see.
Are you currently in the military?
(Optional). This data is for Moral Injury Support Network for Servicewomen, Inc.'s use. Other users will not see this.
Clear selection
Are you a veteran?
(Optional). This data is for Moral Injury Support Network for Servicewomen, Inc.'s use. Other users will not see this.
Clear selection
City of Residence
(Optional) This information will be displayed on your profile for other users to see and may help you connect to others in your area.
State of Residence
(Optional) This information will be displayed on your profile for other users to see and may help you connect to others in your state or province.
Country of Residence
(Optional) This information will be displayed on your profile for other users to see and may help you connect to others in your country.
Members Can:
Customize their “home” experience.
Post content in discussion threads.
Access content and contribute to any public group.
Search for other members, professionals and organizations.
Use direct messenger and live chat to engage others.
View on iOS, Android or any web browser.
Free attendance to one online MISNS conference per year.
1/2 price to attend additional conferences.
Access to free resource lists and handouts from attended conference.
15% discount on 2 year subscription option.

Professionals Get:
All member benefits.
Verified account.
Priority consideration to present at one online conference per year.
Free attendance at up to two conferences per year.
1/2 price on additional conferences.
15% discount on 2 year subscription option.
What membership level are you purchasing? *
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