MSHA - Mississippi Speech-Language-Hearing Association

Welcome to the Mississippi Speech-Language-Hearing Association

Membership Application Have an account? Click here to log in...

New Members Only!!

If you already have an account or have had a previous membership please click here to retrieve your login information.

Personal Information

* Create a Login Name:
* Login Password:
* Retype Password:
* First Name:
Middle/Initial:
* Last Name:
* Gender:
* Birth Date: / /

Address Information

* Home Address:
* City:
* State:
Province (Foreign)
* Zip Code: -
* Home Phone:
Fax:
* Email:
Web Site:

Supplemental Information

* Please enter your ASHA number :
Enter "none" if you do not have one.
* What is your highest degree?
* What is the name of your Employer?
* What is your primary work setting?
* Category ASHA Audiology/Speech
MDE Audiology/Speech
MDH Audiology/Speech
ASHA Audiology
MDE Audiology
MDH Audiology
ASHA Speech
MDE Speech
MDH Speech
Does Not Apply
Student

Associate Member Information:

An Associate Member is one who has obtained a Bachelors degree in the field of human communication development or disorders.  They are unable to vote or be an officer.

School
Year Bachelors Obtained:

Student Member Information:

A Student Member is one who is working on obtaining a degree in the field of human communication development or disorders. They may be a full-time or part-time student.  They are unable to vote or be an officer.

Department Chair:

Full Members

Full Members - must hold a graduate degree in speech language pathology, audiology, or speech and hearing sciences or a graduate degree and present evidence of active research, interest, and performance in the field of human communication development or disorders. Members have the right to vote and to be an officer.

First Year Full Members - must hold a graduate degree in speech language pathology or audiology.  They must be in their first full year of employment in their field after graduation.  This is a one year membership.  First Year Full Membership will convert to a Full Member on year two.  First Year Full Members have the right to vote and to be an officer.

* Membership: New Full Member
CFY Member (Lifetime limit of 1 year)
New Associate Member
New Student Member
I would like my membership to renew automatically. (only if paying by credit card)
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