Genetics Society of America Low- or Middle-Income Country Membership Application

Scientists and students who are full-time residents of countries with low- and middle-income economies (LMIC) are eligible for a complimentary one-year GSA membership. Requestors must fill out this self-certifying survey stating that the requesting individual, their institution, and their advisor or PI are unable to provide financial coverage for a GSA membership. LMIC membership holders who wish to continue receiving this grant will be required to self-certify annually to renew their membership.

Question Title

* 1. First and Last Name:

Question Title

* 2. Email Address:

Question Title

* 3. Have you been a member in the past?

Yes

No

Question Title

* 4. Career Stage/Membership Level:

Faculty

Postdoc

Graduate Student

Undergraduate Student

Other (please specify)

Question Title

* 5. City and Country of Residence:

Question Title

* 6. I am requesting a one-year complimentary Low- and Middle-Income Membership.

Yes

Question Title

* 7. I certify that my advisor or principal investigator is unable to financially support the cost of a GSA membership.

Yes

I am not a student or postdoctoral fellow

Question Title

* 8. I certify that my institution is unable to financially support the cost of a GSA membership.

Yes