International Leadership Association Student Membership Form · Student members enjoy all of the...
2
International Leadership Association Student Membership Form MEMBER INFORMATION MEMBER COMMUNITIES (OPTIONAL) PRIVACY SETTINGS Arts & Leadership Business Leadership Ethics Doctoral Program Leadership Development Followership Leadership Scholarship Leadership Education Program Directors, Deans, and Chairs Public Leadership Peace Leadership Sustainability Leadership Philosophy, Religion, & Worldviews Women & Leadership Youth Leadership Indicate your interests below: Member Benefits. ILA delivers membership benefits electronically and via the physical post including the Interface newsletter, notices about free webinars, ILA books, and member community elections, for example. Yes No Send me ILA membership benefits ILA Announcements. ILA sends emails and direct mail throughout the year including announcements for ILA conferences, webinars, awards, and publications, as well as other ILA news. Yes No Send me ILA announcements Sponsored Messages. As a nonprofit, ILA draws on the support of sponsors to enhance our programs. Occasionally, we will email you messages on behalf of a sponsor. The messages pertain to leadership programs and products or special events taking place at an ILA conference and are approved by the ILA. ILA emails the message to you; your information is not provided to the sponsor. Yes No Email me leadership information on behalf of an ILA sponsor Leadership Jobs Bulletin. ILA emails out a jobs bulletin once or twice a month spotlighting new openings for leadership program directors, educators, researchers, developers, etc. Yes No Email me ILA's Leadership Jobs Bulletin First Name Last Name Best Phone Number Email Address line 1 Address line 2 City State/Province Postal Code Country Leadership Education Major Degree Type University Middle Name MAILING ADDRESS Home Office (your department & organization will be added to address) Job Title Department Organization Healthcare Leadership If applicable, please enrich the ILA community by sharing a second professional affiliation: Is your preferred mailing address your: Student members enjoy all of the benefits of ILA membership, with the exception of the annual complimentary copy of the Building Leadership Bridges book. To qualify for ILA student membership, you must be enrolled as a full- time student without full-time professional employment - or your institution must have a special ILA cohort group membership. Student Membership ILA student membership is for an individual who is a student (undergraduate or graduate), pursuing an academic degree from an academic institution and who is NOT a full-time employee of any organization. Student Member $70 QUESTIONS? Email us at [email protected] or call us +1 (202) 470-4818 If you are not a full-time student, please consider becoming an individual member. Click here for the individual membership dues. Graduation Date
Transcript of International Leadership Association Student Membership Form · Student members enjoy all of the...
International Leadership Association Student Membership Form
MEMBER INFORMATION
MEMBER COMMUNITIES (OPTIONAL) PRIVACY SETTINGS
Arts & Leadership
Business Leadership
Ethics
Doctoral Program
Leadership Development
Followership
Leadership Scholarship
Leadership Education Program Directors, Deans, and Chairs
Public Leadership
Peace Leadership
Sustainability Leadership
Philosophy, Religion, & Worldviews
Women & Leadership
Youth Leadership
Indicate your interests below: Member Benefits. ILA delivers membership benefits electronically and via the physical post including the Interface newsletter, notices about free webinars, ILA books, and member community elections, for example.
Yes NoSend me ILA membership benefits
ILA Announcements. ILA sends emails and direct mail throughout the year including announcements for ILA conferences, webinars, awards, and publications, as well as other ILA news.
Yes NoSend me ILA announcements
Sponsored Messages. As a nonprofit, ILA draws on the support of sponsors to enhance our programs. Occasionally, we will email you messages on behalf of a sponsor. The messages pertain to leadership programs and products or special events taking place at an ILA conference and are approved by the ILA. ILA emails the message to you; your information is not provided to the sponsor.
Yes NoEmail me leadership information on behalf of an ILA sponsor
Leadership Jobs Bulletin. ILA emails out a jobs bulletin once or twice a month spotlighting new openings for leadership program directors, educators, researchers, developers, etc.
Yes NoEmail me ILA's Leadership Jobs Bulletin
First Name Last Name
Best Phone Number Email
Address line 1
Address line 2 City
State/Province Postal Code Country
Leadership Education
Major Degree Type
University
Middle Name
MAILING ADDRESS
Home Office (your department & organization will be added to address)
Job Title Department
Organization
Healthcare Leadership
If applicable, please enrich the ILA community by sharing a second professional affiliation:
Is your preferred mailing address your:
Student members enjoy all of the benefits of ILA membership, with the exception of the annual complimentary copy of the Building Leadership Bridges book. To qualify for ILA student membership, you must be enrolled as a full-time student without full-time professional employment - or your institution must have a special ILA cohort group membership.
Student MembershipILA student membership is for an individual who is a student (undergraduate or graduate), pursuing an academic degree from an academic institution and who is NOT a full-time employee of any organization.
Student Member $70
QUESTIONS? Email us at [email protected] or call us +1 (202) 470-4818
If you are not a full-time student, please consider becoming an individual member. Click here for the individual membership dues.
Graduation Date
PLEASE SELECT FROM OUR THREE PAYMENT OPTIONS
Credit Card Number Expiration Date Security Code
/
Credit Card Type: VISA AMEXMASTERCARD DISCOVER
ADDRESS: International Leadership Association, Inc. 8601 Georgia Avenue, Suite #1010 Silver Spring, MD 20910-3440 USA
QUESTIONS? Need a copy of our W-9? Contact [email protected] or +1 (202) 470-4818 x0
Note: Please include the member's name on the wire so we can trace the payment to the membership and notify [email protected] to expect payment
WIRE /BANK TRANSFER:
Member Name
Please make payable to International Leadership Association and mail to:
Note: We moved 2 years ago from Bonifant St. and 6 years ago from UMD - please be sure you use our not-so-new address on the left!
Beneficiary Name: International Leadership Association Beneficiary Bank: EagleBank 7815 Woodmont Ave., Bethesda, MD 20814 USA Swift (or BIC): EAGEUS33 Checking Account: 0200192508
CREDIT CARD:
CHECK / MONEY ORDER:
International Leadership Association 8601 Georgia Avenue, Suite #1010 Silver Spring, MD 20910-3440 United States
Note: We moved 2 years ago from Bonifant St. and 6 years ago from UMD - Please be sure you use our not-so-new address on the left!
Full Name
Phone Number Email
Address line 1
Address line 2 City
State/Province Postal Code Country
Card Holder Information:
Payment Amount ($)
