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** 2010 IMIA Membership Special **

If you will be registering for the 2010 IMIA Conference, you qualify for the special $35 1-year membership fee that must be paid at the same time as your conference registration.

Please register for the conference at: http://www.imiaweb.org/conferences/confreg2010.asp and make sure to select "Yes, I am paying for IMIA individual membership (additional fee of $35)"



Please note:  When paying by check, please include along with payment the name, address, phone and email of the person the check is for, so that we can approve the correct person.
(Please note:  bounced checks will incur a $35 fee)

The Membership Committee extends a warm invitation for you to join us and become regularly involved in activities with other IMIA members around the world.
As an IMIA member, you have many benefits and are linked to local, state, national, and international efforts to advocate for the right of linguistically diverse patients to a competent medical interpreter. You will also find that this is a community of empowerment, where medical interpreters are respected as professionals and as the experts in medical interpreting. For member benefits please go to: http://www.imiaweb.org/members/benefits.asp


Please complete the following form.  Required fields in red.

Annual Membership Fee: $50.00
Don't want to have to worry about renewing yearly and want to save?
2 Year Option: $90.00 ($45/yr)
3 Year Option: $120.00 ($40/yr)

* How many years?
1 year - $50
2 years - $90
3 years - $120

* Membership category
Active

ACTIVE members shall be professional medical interpreters currently engaged in the delivery of interpreting services in a medical setting. Active members are required to participate at least in one IMIA activity yearly in order to maintain an active membership. In addition, dues must be paid. Active members are eligible to vote, hold office, and chair committees.

Associate
ASSOCIATE members shall be individuals other than medical interpreters who support the mission of the organization. Associate members can participate in activities of the association and may serve on committees but are excluded from voting and holding office. This includes interpreter trainers, managers, supervisors, translators, administrators, non-profit advocates and others who are interested in medical interpreting and language access in health care.
Provider
PROVIDER members shall be professionals who help in identifying or preventing or treating illness or disability. This includes physicians, specialists, alternative health care practitioners, nurses, nurse assistants, medical assistants, nutritionists, clinical social workers, hospitalists, pharmacists, physician assistants, and other health care professionals.

* Publish personal info (i.e. home address) on website?
Yes
No

* Are you a health care administrator? (coordinator, manager, or director of an interpreter or language access department)
Yes
No

* Do you provide interpreter training services as an instructor or a language coach?
Yes
No

If yes, into and from what languages?

Are you interested in being a mentor to novice Interpreters?
Yes
No

* Are you currently a student?
Yes
No

If yes, what languages?

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* Email address

* Re-enter email address

* Secondary email address

NOTE: Adding this secondary email will NOT mean that you will receive emails twice. It is needed in case you change your email address, so we have the means to notify you that your membership is about to expire or has expired.

* Password for website

* Confirm password

* First name / Middle initial / * Last name
   

Gender
Male
Female

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Home Address

* Street

* City

* State/Province (if US/Canada is selected)

* Country

* Zip

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Present Employment #1

Company

Job Title

Dept

Present Employment #2

Company

Job Title

Dept

Present Employment #3

Company

Job Title

Dept

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Primary Work Address

Street

City

State

* County (if MA is selected)

Country

Zip

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Phone Numbers

* Home phone

Work phone

Pager

Pager ID

Cell phone

Fax

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Education

* What is your highest level of education?

Field of study

Other education information

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Join a Committee

The IMIA relies on its members to advance the profession. We have always been a grassroots organization that believes each person can and should make a difference. Please see the different committees you can join below. Each committee requires a commitment of a monthly one hour meeting and up to an hour of followup between meetings. Meetings are all by phone so you can participate from the comfort of your home. In order to join a committee you need to read the committee essentials document and sign a disclosure form, see links below.

> View Committee Essentials Document (opens in new window)

> View Board/Committee Disclosure Form (opens in new window)

Click here to see available committees

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Email Preferences

Select which mailings you'd like to receive:

Monthly IMIA eNews
Job opportunities
Training notices from corporate members
Notices directed to all members

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Verification Code

Please type the characters displayed above:

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If you have any questions or comments, please email imiaweb@gmail.com.

*We suggest you print this form (before hitting "Save" below) to serve as a record of the information you submitted and your chosen password.

PAYMENT On Line
Once you click "Save" below, you will be given an option to pay online via credit card.

PAYMENT by Check
If payment by check is necessary, please make checks payable to IMIA. (Please note: bounced checks will incur a $35 fee.) Print and mail this form and payment to:

IMIA
800 Washington St.
Box 271
Boston, MA 02111-1845

Please let us know how you plan to submit your membership payment:
Online
Mail in check

Additional payment notes

Once your payment is received, you will be approved as a member and you will receive a confirmation email from the IMIA Administrator.

IMPORTANT - To ensure that you receive all correspondence from IMIA, please add info@imiaweb.org to your email address book so your IMIA Correspondence does not get mistaken for SPAM.


* If you would like to submit a paper application, please download one here.

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