Individual Global Membership Registration "*" indicates required fields NameThis field is for validation purposes and should be left unchanged.CodeFor internal use onlyIndividual Global Membership*I confirm I am registering to be an Individual Global Member and I am not a member of a current NSTEM Chapter Individual Global Membership Individual Global Membership Free*I confirm I am registering to be an Individual Global Member and I am not a member of a current NSTEM Chapter Individual Global Membership Username*This will become part of your user record and cannot be changedPassword*Please create a strong password. We suggest at least 12 characters. Use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & . * Enter Password Confirm Password Strength indicator Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What is the name of the educational institution you are associated with?*The name of the school/college or instituteThis field is hidden when viewing the formIs your school public or independent/private Public Independent Private Other Is your school public or independent/private?*PublicIndependentPrivateOtherSchool Type Other*Your Grade Level*Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCollege 1st-2nd Year Part-TimeCollege 1st-2nd Year Full-TimeCollege 3rd-4th Year Part-TimeCollege 3rd-4th Year Full-TimeYour Email*This is your account's email address. You may use your personal email address. if you are over the age of 13. Otherwise enter a parent or guardian's email here. Enter Email Confirm Email Your Phone*Your Date Of Birth* MM slash DD slash YYYY Your Current Age (As of Sept.1 of this year)*Image/AvatarUpload your image or avatar. It will be shown on your profile page. Must be a png, jpg or gif. 3 Mb max file size Accepted file types: gif, png, jpg, jpeg, Max. file size: 3 MB. Parent/Guardian's InfoFirst*Last*Email* Would you like to add another Parent/Guardian?* Yes No Additional Parent/Guardian InformationClick the plus symbol to add multiple parents/guardiansFirstLastEmail Add RemoveHow did you hear of NSTEM*Article/BlogCollegueConferenceInternet SearchNSTEM Direct OutreachSocial MediaPartner/OrganizationReferralStudent/ParentOtherOther*If you have selected "Other", please write where you heard about NSTEM.Is this your first year in NSTEM?* Yes No How many years have you been an NSTEM Member*1234567891011121314151617Confirm you have read the following* Indicate that you have read and agree to the NSTEM™ Constitution Indicate you have read the Student Honesty Policy Indicate you have read the Parent Honesty Policy Indicate you have read the Terms of Use Consent Indicate you have read the Media Release Consent Indicate you have read the Trademark Usage Guidelines Select AllTotal Credit Card*Card Details Cardholder Name Δ
