Application Details

Complete Application
Candidate Member
This is a 12-month membership - Membership expires May 31st
This membership is for individuals only

Candidate Member is enrolled full-time in an Audiology program at a regionally accredited institution of higher learning. Student members have the following rights:

  • Serve on standing committees
  • Attend member and executive board meetings

Membership Refund Policy

A formal request for refund can be submitted in writing to michiganaudiologycoalition@gmail.com Please keep in mind that Fellow/Student memberships run June 1 to May 31st of each calendar year. Mug Club membership year begins on the date you initially sign up or renew.

Glue Up account creation information.

Click here to upload a new image
Uploading an image is mandatory

Please enter a first name
If you input more than 0 characters your First Name may not display properly

Please enter a last name
If you input more than 0 characters your Last Name may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Password may not display properly


・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)
If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please fill in your member application details.

Consent

This checkbox is mandatory
Back