Full Membership Application

Membership Level *
Full Membership
Title
First Name *
Middle Name
Last Name *
Date of Birth *
Gender *
Nationality *
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Email *
Alternate Email
Mobile Number *
Please include country code
AfAS Scientific Division Interest(s) *
Stars and planets
Galaxies
Cosmology
History of Astronomy
Computation and HPC
Education and Outreach
Employer/Institution
Department/Division/Unit
Number of years of relevant experience
Highest Qualification *
Institution where highest degree was earned *
Subject of Highest Qualification
Honours, MSc, Phd dissertation topic
Description of relevant experience in the field of Astronomy *
This will also serve as a motivation for your application for full membership status
Title of published astronomy paper
Name of Journal
Profile Image
Username *
Password *