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MEIEA INSTITUTIONAL FACULTY MEMBER REGISTRATION

REGISTRATION TYPE New Institutional Faculty Member
Renewing Institutional Faculty Member
NAME (FIRST)
NAME (LAST)
EMAIL 1 ( Personal / Preferred )
Phone contact (xxx) xxx-xxxx
MAILING ADDRESS
CITY
STATE (skip if not U.S. address)
or Province (if needed)
Country (if not US)
ZIP/POSTAL CODE
Select Your Institution
or Enter Your Institution
City, State or
Country
MEMBER CLASSIFICATION Full-time Faculty (Tenure track)
Full-time Faculty (Non-tenure track)
Part-time Faculty (Adjunct)
Administrator / Faculty
Administrator (non-teaching)
Rank (if appropriate)
Title (if appropriate)
Number of Years in Education
Number of Years in Music/Entertainment Industry
Area(s) of expertise/interest:
Degrees, certifications, credentials.
INCLUDE MY INFORMATION IN THE MEIEA RESOURCE DIRECTORY. YES
NO
If yes above, what contact information would you prefer including in the MEIEA resource directory? Personal
School/Institution/Business
Both
How did you hear about MEIEA?
As the need arises, MEIEA often seeks volunteers for assistance with scholarship and administrative tasks. Please check those areas in which you would like participate. Journal Paper Submission Reviewer
Summit Paper / Presentation Reviewer
Grant Award Reviewer
e-Zine Contributor
Website Member News Contributor

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