Association of Educators in Imaging and Radiologic Sciences, Inc
 
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Online Membership Application

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The dues year for the Association of Educators in Imaging and Radiologic Sciences is from day the membership started for 1 full year. For example, if you join AEIRS or renew your membership on September 1st of the current year, your membership would expire the following year on September 30th.

ALL FIELDS THAT ARE BOLD ARE REQUIRED. If you do not complete ALL bold fields an error may occur returning you to this screen which may appear empty. So, please fill out the application completely. Thank You

Application Date:
First Name:
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Certificate AAS BA BS BSRS BSRT BS Ed
MA MS MSRS M Ed MBA EdD PhD
DM JD
Additional Information:

Certification (Check all that Apply):
RT(R) RT(N) RT(T) RT(CV) RT(M) RT(CT)
RT(MR) RT(QM) RT(S) RT(BD) RT(VS) RT(CI)
RT(VI) RT(BS) RRA RDMS RVT RDCS
CNMT NCT PET CMD CRA

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Home Phone: (XXX-XXX-XXXX)
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How did you hear about AEIRS?
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Check here if you were an AEIRS member in the past.
 
Member Category
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Privacy Information
It is the AEIRS policy to release the mail list for mailings that contribute to knowledge regarding the profession. The list is not sold for recruitment or advertising purposes. May AEIRS release your mailing address? Yes No
It is the AEIRS policy to release the email list for mailings that contribute to knowledge regarding the profession. The list is not sold for recruitment or advertising purposes. May AEIRS release your email address? Yes No
May AEIRS list your Name, Employer, Work Phone, and Email Address in the Member Directory? Yes No