| Student Members: Individuals enrolled full-time at a college, university, or other educational institution. Part-time students are eligible for student membership if your primary concentration is education, such as a combination of class work and an internship. As part of your membership process, please provide proof of student status by sending it to customerservice@ispe.org or fax to +1-813-264-2816. Acceptable proof includes one of the following: Current semester schedule Transcript (official or unofficial) University letter stating you are student |
| Please fill out the registration form in its entirety. This is the information that we will use on all correspondence with you. |
| All items in bold must be filled out |
| Personal Information |
| First Name: | |
| Middle Initial: | |
| Last Name: | |
| Informal/Preferred Name: | |
| Academic Institution: | |
| Job Title: | Gender: |
| Prefix: | |
| Suffix: | |
| Designation: | |
| Expected Date Of Graduation: | (mm/yyyy) |
| Enter a Password: | |
| Confirm Password: | |
| Password must be at least six alpha/numeric characters. It is not case sensitive. | |
| Permanent |
| Address 1: | |
| Apartment: | |
| Address 3: | |
| City: | |
| State/Province (Required for US and Canada): |
|
| Zip/Postal: | |
| Country | |
| Telephone: | |
| Mobile Telephone: | |
| Fax: | |
| E-mail: |
| This address is my: | Preferred Mailing: | Preferred Billing: |
| Alternate (Home) |
| Address 1: | |
| Address 2: | |
| Address 3: | |
| City or Suburb: | |
| State/Province (Required for US and Canada): |
|
| Zip/Postal: | |
| Country: | |
| Telephone: | |
| Fax: | |
| E-mail: |
| This address is my: | Preferred Mailing: | Preferred Billing: |
Remember, to complete your membership application process you must send proof of student status to customerservice@ispe.org or fax to Customer Service at +1-813-264-2816.