Academic Data Science Alliance ~Institutional Membership Form~
Institutional Membership in ADSA is currently limited to academic and not-for-profit organizations and institutions. Organizations who are interested in supporting academic data science from adjacent sectors should consider sponsoring ADSA activities and meetings or donating to ADSA directly by contacting us. ADSA activities are generally open to members and non-members alike, but individual and institutional members do have special benefits and opportunities.
Annual membership runs July 1 - June 30. Apply today for 2024-2025!
Contact Name
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First Name
Last Name
Contact Email Address
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example@example.com
Name for Invoicing (if different from Contact name)
First Name
Last Name
Invoicing Email Address (if different from Contact email)
example@example.com
Institution Name (e.g. university or college)
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Department, School, or Institute/Center Name
Are multiple departments and/or units seeking joint membership? If so, list them here.
Which Membership Tier would you like to pay for?
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Tier 1 ($5000)
Tier 2 ($2500)
Investor Tier ($10,000)
Would you like the Evergreen Package?
Yes, I want a free year! Please invoice me for 4 years at the level selected above. I will get my 5th year for free.
Yes, but please split my invoice between this year and next year.
Tier 1 without Evergreen discount: Are you a new institution member of ADSA?
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Yes, please apply a one-time 10% discount (only applies to NEW Tier 1 Memberships)
Yes, but I would like to waive my discount and apply it to student support. (We will contact you for a logo to advertise your support)
No
(optional) Please add $1000 to my invoice to support student travel and scholarships. (We will contact you for a logo to advertise your support)
Yes
No
Other Amount
If your institution is designated as a Minority Serving Institution at the Center for MSIs, you are eligible for the reduced rate of 50% off. Please check which designation(s) your institution holds. Note: MSI discount cannot be combined with first-year or any other discount EXCEPT evergreen membership at the Tier 1 level. See: https://cmsi.gse.rutgers.edu/content/msi-directory
AANAPISI (Asian American Native American Pacific Islander-Serving Institutions)
ANNH (Alaska Native and Native Hawaiian serving institutions)
HBCU (Historically Black Colleges and Universities)
HSI (Hispanic Serving Institutions)
NASNTI (Native American-Serving Non-Tribal Institutions)
PBI (Predominantly Black Institution)
TCU (Tribal College or University)
Anything else you'd like us to know?
Approved
Please Select
Yes
No
Invoiced
Please Select
Yes
No
Paid
Please Select
Yes
No
By checking this box, I acknowledge that ADSA membership dues are for 1 fiscal year (July 1 - June 30), or 5 fiscal years for evergreen members, and that I am authorized to arrange for payment of this amount on behalf of my institution.
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I agree
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