International Society for Environmental Epidemiology

Financial Support Request for ISEE Membership

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Last Name *

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Are you a current member of ISEE?

Yes

List the date of your membership expiration below. If unsure, list the month and year that you joined.

Please provide a brief two sentence explanation outlining the reasons for your request for financial support from ISEE for your membership payment.

Choose the method below that best describes how you intend to participate in an ISEE course.

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Describe your motivation for enrolling in this course (2 sentence max.)

Access to ISEE-sponsored online courses is an exclusive benefit of membership. Requests for financial support to cover membership dues for course participation are evaluated on a case-by-case basis, with priority given to members from low- and middle-income countries (LMICs). Your submission will be reviewed and you will be notified via email of the outcome.

Choose your requested membership type below
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