Student Member Application

  Yes
  No

Personal Information

Contact Information

Application Questions

  I acknowledge that I have read, and agree to abide by, the SCIHRA Code of Conduct as outlined
  Yes
  No
  TV
  Radio
  Newspaper
  Telephone
  SCIHRA Newsletter
  Face-to-face
  Friend or Colleague
  Chamber of Commerce
  Other
  Networking Opportunities
  Education
  Funding
  Membership
  Customers
  Fun
  Other
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