2023 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 343-361-3326

New Member/Affiliate

Membership/Affiliation Type options will appear below when you answer the question above.

Membership/Affiliation Type *

Student Affiliate - FREE (no PiC) - 0.00 $ + 0.00 $ Taxes

Student Affiliate - with Physics in Canada $27.50 - Prorated: May to Dec - 18.33 $ + 0.00 $ Taxes

First year of graduate membership (FREE) - 0.00 $ + 0.00 $ Taxes: Currently pursuing a physics/physics-related degree in a Canadian university.

Graduate Student $56.00 - Prorated: May to Dec - 37.33 $ + 0.00 $ Taxes: Beyond 1st time of CAP Graduate membership

Graduate Student Joint with CASCA $39.50 - Prorated: May to Dec - 26.33 $ + 0.00 $ Taxes: Applicable to active CASCA Graduate members (proof of CASCA membership will be requested).

Foreign Student Affiliate - with Physics in Canada $33.00 - Prorated: May to Dec - 22.00 $ + 0.00 $ Taxes

Foreign Graduate Student - 1st year of membership (FREE) - 0.00 $ + 0.00 $ Taxes: Obtained your undergrad degree in Canada.

Foreign Graduate Student $56.00 - Prorated: May to Dec - 37.33 $ + 0.00 $ Taxes: Beyond 1st time of a CAP graduate membership or NOT pursuing a Graduate physics or physics related degree in a Canadian university.

* optional - select as many as you wish.

Divisional and Committee Memberships (Student)

CGU - Canadian Geophysical Union - 0.00 $ + 0.00 $ Taxes

DAMOPC - Atomic, Molecular and Optical Physics, Canada - 0.00 $ + 0.00 $ Taxes

DAPI - Applied Physics and Instrumentation - 0.00 $ + 0.00 $ Taxes

DASP - Atmospheric and Space Physics - 0.00 $ + 0.00 $ Taxes

DCMMP - Condensed Matter & Materials Physics - 0.00 $ + 0.00 $ Taxes

DGEP - Gender Equity in Physics (Formerly CEWIP) - 0.00 $ + 0.00 $ Taxes

DHP - History of Physics - 0.00 $ + 0.00 $ Taxes

DNP - Nuclear Physics - 0.00 $ + 0.00 $ Taxes

DPE - Physics Education - 0.00 $ + 0.00 $ Taxes

DPMB - Physics in Medicine and Biology - 0.00 $ + 0.00 $ Taxes

DPP - Plasma Physics - 0.00 $ + 0.00 $ Taxes

DSS - Surface Sciences - 0.00 $ + 0.00 $ Taxes

DTP - Theoretical Physics - 0.00 $ + 0.00 $ Taxes

PPD - Particle Physics - 0.00 $ + 0.00 $ Taxes

* optional - select as many as you wish.

Voluntary Contribution
(Not tax deductible)

5.00$ 10.00$ 20.00$ 25.00$ 30.00$

50.00$ 100.00$ 200.00$ - none -

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.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Contact Information

Title

Dr. Prof. Mr. Mrs. Miss Ms. Mx. Ir Eng. Ing

First Name *

Last Name *

This address will be used for all correspondence sent by regular mail; please make sure it is complete and accurate.

Preferred Mailing Address *

Home Work

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.

Street Address (Home)

Supplemental Address 1 (Home)

City (Home)

Country (Home)

Province/State (Home)

Postal Code (Home)

Street Address (Work)

Supplemental Address 1 (Work)

City (Work)

Country (Work)

Province/State (Work)

Postal Code (Work)

Preferred Phone *

Home

Work

Cell

Phone and Extension (Work)

Phone (Cell)

Preferred E-mail *

A NEW membership/affiliateship application includes AUTOMATIC subscriptions to CAP's electronic News Bulletins, and Newsflashes. Feel free to opt out at anytime via your online account or by using the unsubscribe feature in messages received. Your membership also includes early access to our online publication Physics in Canada (PiC) at https://pic-pac.cap.ca.

Alternative E-mail

Payment Options

Payment Method

Credit Card (CAP) Cheque

My billing address is the same as above

Billing Name and Address

First Name * *

Billing Middle Name

Last Name * *

Street Address * *

City * *

Country * *

State/Province *

Postal Code

Additional Information

Membre de soutien anonyme

I would like to be an anonymous sustaining member

Are you a graduate student or an undergraduate? *

Graduate

Undergraduate

Employer *

Enter your current employer name in full; No abbreviations/acronyms. If not currently employed, enter "N/A".

Gender *

Woman Man Two-Spirit Non-binary / third gender Genderqueer or Gender non-conforming Prefer to self-describe Prefer not to say

Genre auto-décrit

Pronouns

Website Address

Secure Online Directory *

I agree to have my name and preferred address, telephone, and e-mail information included in the secure, member-only, online directory

I do not want my name and contact information to appear in the secure, member-only, online directory

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.

Bulletins

- Bulletin de nouvelles de l'ACP

- CAP Awards NewsFlash

- CAP Community NewsFlash

- CAP Congress News

- CAP News Bulletin

- CAP NewsFlash

- CAP Science Policy NewsFlash

- Employment Ad Notification List - all posted ads

Subscribe to this mailing list to receive notifications when ANY employment ad has been posted to the CAP website.

- Employment Ad Notification List - Gender Equity in Physics

Subscribe to this mailing list to receive ONLY those employment ads the submitter has specifically requested be circulated to subscribers of our gender equity in physics distribution list.

- Employment Ad Notification List - Student-level ads only

Subscribe to this mailing list to receive ONLY those employment/opportunity ads targeted to be filled by undergraduate or graduate students.

- Flash d'Info de l'ACP

- Flash d'Info de la communauté

- Flash d'Info de la politique scientifique de l'ACP

- Flash d'Info lauréats de l'ACP

- Info Congrès de l'ACP

How did you hear about the CAP?

Colleague/friend	Employer	Facebook	Newsletter	Other
Professor/Department	At an event	Twitter	Search Engine

Which event?

Please specify

Education

Current Program Details

Degree classification *

Not Applicable

Bachelor's

Master's

Ph.D.

Université *

University

Please specify the country in parentheses ().

Program *

e.g. physics, engineering physics

Expected date of graduation (YYYY-MM) *

Name of Supervisor

Supervisor's Email

Name of dept. chair

Bachelor's Degree Details

Completed Bachelor's Degree

Not Applicable

Bachelor's

Master's

Ph.D.

Year-Month B.Sc. obtained (YYYY-MM)

University

For a non-Canadian university, please specify the country in parentheses ()

Degree in

e.g. physics, engineering physics

Master's Degree Details

Completed Master's Degree

Not Applicable

Bachelor's

Master's

Ph.D.

Year/Month M.Sc. obtained (YYYY-MM)

University

For a non-Canadian university, please specify the country in parentheses ()

Degree in

e.g. physics, engineering physics

BEFORE YOU SUBMIT, please, make sure that all the required fields (*) have been completed. Blank required fields will result in the system bringing you back to this screen and the possible loss of information previously entered.

Clicking the SUBMIT button will allow a review of the total charges and the data entered, before payment is processed and the application is submitted to the CAP office. A copy of your application and payment receipt will be emailed to you.

2023 CAP Student Member or Affiliate Form

Status message

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

Education

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