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CIG Institutional Membership Application Form

If your institution is interested in applying for membership, fill out the form below. Multiple applications from a single organization will cause a decision on membership to be deferred, so please coordinate with others at your organization who may submit an application. In the event that your application is not approved, you will be notified of the reason for disapproval.

Before applying for either Member or Foreign Affiliate status, make sure that you have carefully read the CIG bylaws (PDF).

* Indicates required field.

* Institution Name:

* Department/Division:

* Name of Approving Official (e.g., Dept. Chair, Dean):

* Institution type:

* Proposed Member Representative Name:

* E-mail Address:

* Phone Number:

Fax Number:

* Mailing Address:

* Country:

* Short statement of your interest in CIG and your commitment to active participation in the organization:


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