2019 CAP Student Member or Affiliate Form

Online Application/Renewal/Reactivation form for STUDENT Members/Affiliates

 

All NON students must use this form.

 

Note, all amounts are in Canadian dollars, and, if you are having problems with this form, please email CAP or phone 613-562-5614.

New Member/Affiliate
Membership/Affiliation Type options will appear when you answer the question above.
* optional - select as many as you wish.
* optional - select as many as you wish.
Contributions of $100 or more makes you a Sustaining Member. Your name will also appear in our online directory of sustaining members.
Total Amount
Please enter a Username to create an account. If you already have an account please login before completing this form.
Contact Information
     
This address will be used for all correspondence sent by regular mail, including Physics in Canada; please make sure it is complete and accurate.
 
Note: You will be able to add alternate mailing addresses, e-mails, and telephone numbers, once you are given access to your CAP online account.
 
A NEW membership/affiliateship application includes AUTOMATIC subscriptions to CAP's electronic News Bulletins, Newsflashes and may include a hard copy of Physics in Canada (PiC). Feel free to opt out at anytime via your online account or by using the unsubscribe feature in messages received.
Additional Information
Enter your current employer name in full; No abbreviations/Acronyms. If not currently employed, enter "N/A".
    
NOTE: You will be able to edit the information that appears in the "Secure Online Member-only Directory" once your CAP online account has been activated.
CAP News Bulletin
CAP NewsFlash
CAP Science Policy NewsFlash
NO Physics in Canada Hardcopy (opt-out)

Education

Current Program Details
Please specify the country in parentheses ().
e.g. physics, engineering physics
Bachelor's Degree Details
For a non-Canadian university, please specify the country in parentheses ()
e.g. physics, engineering physics
Master's Degree Details
For a non-Canadian university, please specify the country in parentheses ()
e.g. physics, engineering physics