Oregon Chapter Member Form (2024)

MEMBERSHIP APPLICATION

Please complete this form to join the IAWP-Oregon Chapter
Joining the IAWP-Oregon Chapter also gives you Premium Membership in the national IAWP! Your premium membership includes access to over 60 elearning courses as well as steeply discounted rates on events and programs.

The current membership rate is $124 per year with automatic renewal. For retirees from the workforce profession, IAWP-Oregon Chapter offers a special rate of $50 per year.
Name*

First NameLast Name
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home phone number*
Home email*
example@example.com
Current Employer*
Job Title*
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Work email*
example@example.com
FOR OED EMPLOYEES ONLY: Section #
Such as 023, 090, 045
My preferred contact method is...*

Personal emailWork emailPlease include both personal and work
Membership Options

Full Member ($124/year)Retiree Member ($50/year)
Payment Options*

I am an employee of the Oregon Employment Department, please invoice OED for my membershipPay by check or credit card - please email info@iawporegon.org for instructionsInvoice my employer using the following information:
To the attention of:
Employer Address

Employer Name

Street Address

CityState / Province

Postal / Zip CodeCountry
I am interested in volunteering in the following areas:

Educational eventsCommunity eventsMembership engagementAwards and RecognitionContributing to quarterly newsletterOther
What are some ways the IAWP-Oregon Chapter can provide value to you as a member?
Did a current IAWP member encourage you to join? If so, please tell us who:
Media Opt Out

From time to time the Oregon Chapter may take photos and videos at chapter events. If you do not want your image used on our website or in publications please check here.
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MEMBERSHIP APPLICATION