MNSHA Online Membership Form

MNSHA Membership Year: October 1 - September 30

For Renewing Members: please log-in to the Member Center. Click here to Login.

New Membership:

Contact Information

To select more than one entry in a drop down field, hold down the Ctrl button while making your selections.

First Name:*

Middle Name:

Last Name:*

Pronoun:

Credentials:

Street Address:*

City:*

State:*

Zip:*

Email:*

I would like to receive MNSHA
updates via email:

Cell Phone Number:

Home Phone Number:

Work Phone Number:

Residing County:

Congressional District:

Legislative District:

Current Employer:

Position:

Check if you are in need of any ADA Accommodations for committee meetings and/or professional development opportunities.

Bilingual Service Provider:

MN License:

Highest Degree:

Work Setting:

Regional Area:

Policy Council:

Volunteer Interest:

Advertising/Marketing	Continuing Education
Convention	Ethical Practice
Financial Advisory	Legislative
Health Care Issues	Membership
Multi-Cultural Issues	Newsletter
Nominations and Elections	Peer Standars Review
Recognition and Awards	School Services Issues

Listservs:

If you would like to join any of the MNSHA Listservs, please contact the MNSHA Office to be added at office@mnsha.org.
Below are the listservs you can join.

AAC
Audiology
Education Issues
MN Voice
Healthcare Issues
Multicultural Issues
Lead SLP

Student Information

University Name:

Desired Membership: (choose one)

Regular Member

For persons who (1) hold a graduate degree in communication disorders, speech-language pathology, audiology or speech and hearing science, or (2) hold a graduate degree and present evidence of active research, interest and performance in the field of communication disorders.

Associate Member

For persons who (1) hold a Bachelor’s Degree in communication disorders, speech-language pathology, audiology or speech-hearing science, or (2) have completed an associate degree in a speech-language pathology assistant program. Associate membership is not available for those who qualify for Member status.

Affiliate Member

For any person with an interest in the field of communication disorders. This membership category is available only to persons not eligible for other categories.

Recent Graduate

For persons who have held a MNSHA student membership for at least one year at the time of graduation and are renewing as a full two-year member.

Student Member

For persons enrolled full-time in an accredited training program and preparing for a degree in communication disorders, speech-language pathology, audiology or speech-hearing science.

Life Member - Must meet eligiblity criteria.
Contact MNSHA Office to verify.

For persons who have been members in good standing for at least ten years and who have (1) reached the age of 60 years and retired from professional practice or (2) been disabled and are unable to maintain professional practice.

Associate Life Member - Must meet eligiblity criteria.
Contact MNSHA Office to verify.

For persons with Associate or Bachelor’s degrees who have been members in good standing for at least ten years and who have (1) reached the age of 60 years and retired from professional practice or (2) been disabled and are unable to maintain professional practice.

MNSHA membership dues are not deductible as a charitable contribution for U.S. federal income tax purposes, but may be deductible as a business expense. MNSHA estimates that 20% of your dues are not deductible because of MNSHA’s lobbying activities on behalf of its members.

Questions contact the MNSHA Office at office@mnsha.org or 855-727-2836

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