IASR Membership application form IASR Membership Application Last name * First name * Title Dr.Mr.Ms.Mrs.Miss Email Address * Degrees * MD MSc PhD OtherOther Affiliation * Country * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d‘IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Website/URL Membership type application * Student/Junior Associate Regular Student/Junior and Associate members, please indicate name of mentor Please upload Curriculum vitae here (pdf format please). * Drop a file here or click to upload Choose File Maximum file size: 4MB Please upload a letter of support Drop a file here or click to upload Choose File Maximum file size: 4MB Student/Junior membership applicants must provide a letter of support from their thesis/dissertation advisor If you have any questions about these documents, please contact the IASR Membership Committee membership@suicide-research.org File Upload: Please upload a recent picture of yourself Drop a file here or click to upload Choose File Maximum file size: 4MB File Upload: Please upload supporting documents (pdf format please). Drop a file here or click to upload Choose File Maximum file size: 4MB Student/junior, Associate, and Regular members should submit a one-page 1-page statement of interest in becoming a member and current areas of research or research interest (e.g., thesis/dissertation for student/junior members) All applicants should submit a list of recent suicide research publications, if available. If you have any questions about these documents, please contact the IASR Secretary-Treasurer secretary@suicide-research.org Your application will be reviewed by the IASR Board. After approval, you will be sent a link to pay your annual dues. Please note: Do not transfer money to us / pay membership dues if you have not received approval of your membership application. reCAPTCHA If you are human, leave this field blank.
