Student Membership

Student Membership requires that the applicant be enrolled full-time in a course of study that is related to the area of speech science and technology (Please attach a copy of your current student card to this application). In 20-50 words, please describe your course of study, its relation to speech science and/or technology below.

Membership Options

All membership applications must be approved by the executive committee. You should allow at least two months for the processing of your application.

Memberships *

Student Membership - 1 Year - $ 33.00 (includes GST of $ 3.00)

Student Membership - 2 Years - $ 66.00 (includes GST of $ 6.00)

Total Amount

Account

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Student Member Details

Individual Prefix

First Name *

Last Name *

Current Employer

Email *

Birth Date

Gender

Female Male Other Prefer not to say

Street Address

Street Address Line 2

Street Address Line 3

City

State

Country

Post Code

Phone

Mobile

Fax

Student Membership Additional Information

University or college where you are studying *

Degree you are enrolled in *

Study Evidence (i.e. Student Card) *

Evidence Date *

Expected Year of Completion *

Describe your course of study, its relation to speech science and/or technology? (25-50 words) *

Supervisor First Name *

Supervisor Last Name *

Supervisor Email *

ASSTA Details