Membership Form

Please choose a plan below, then scroll down the page to fill in your information.

Please Note:
NAAIMS Membership is ONLY for Citizens and Legal Residents of USA and Canada, including Ph.D. students - foreign students need to indicate they have Student Visa Status.

* Indicates Required Field
Membership Plan (Select One Option) *

Full Membership: Annual Dues - $75.00

Individuals from North America who hold a terminal degree in their field of study from the social sciences and humanities (e.g., Ph.D, JD, Ed.D, DBA, etc.) and/or those who hold a terminal degree in the natural sciences who are dedicated to the mission of NAAIMS are eligible for Full Membership.
* Check One:  US  OR Canada    Others not eligible
* Check One:  Employed  OR Retired

 Student Membership: Annual Dues - $40.00

Current Ph.D. students in the field of Islamic or Muslim studies, including foreign students enrolled in universities in the US or Canada. ONLY students currently enrolled in a Ph.D. program are eligible for Student Membership.  
* Check One:  Current EnrollmentUS  OR Canada

 Institutional Membership: Annual Dues - $250.00

An association, business, company, corporation, organization, partnership or scholarly entity from North America dedicated to the mission, objectives and purposes of NAAIMS may qualify for Institutional Membership. However, such entities shall not have voting privileges. Must be Headquartered in the US or Canada [ONLY]  
* Check One:  US  OR Canada

Title *
First Name *
Middle Name *
Last Name *
Home Address *
City *
State/Province *
Zip/Postal Code *
Email Address *
Current Academic Institution/Organization *
Organization Website Address *
Professional Position *
Home Telephone *
Work Telephone *
Mobile Phone *
City (of University) *
State (of University) *
Zip (of University) *
Membership Affiliations in other Professional Organizations *
Research Interests *
Highest Degree *
If you are checking MA/MS you need to be currently enrolled as a Ph.D. candidate.
DBA   PhD   MA / MS   JD   D.Ed  
Field of Study *
Degree Earned *
Name of University Granting Degree *
Field of Specialization of Degree Earned *
University Name *
University Address *
Languages you speak *
Citizenship Status *
I am a Citizen of the USA
I am a Citizen of CANADA
I am a Legal Resident of the USA
I am a Legal Resident of CANADA
Graduate Student Status *
I am a Graduate Student from the USA
I am a Graduate Student from CANADA
I am a Foreign Graduate Student with Student Visa from the USA
I am a Foreign Graduate Student with Student Visa from CANADA
I am no longer a student

Please Note:
Upon completion of this application. We will review and verify your information. Before you press the "SUBMIT" button below, please be certain all of the information above is correct and accurate. We would like to thank you for your information and we look forward to welcoming you to the NAAIMS community.
Security Code: *

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