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Membership Details
ADA Student Membership
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Member Price
$25.00
New Member Price
$25.00
Membership Information
This is a Calendar based Membership
Membership Term
Effective Date:
12
Expiration Date:
12/21/2024
Referred By:
12/31/2025
Additional Information:
Clinical Interests: (please hold down CTRL key to indicate all that apply):
Audiologic Diagnostic Assessments
Vestibular Assessments and Rehabilitation
Hearing Aid Selection, Fitting and Management
Cochlear Implants
Industrial Testing
Hearing Conservation
Assistive Listening Devices
Pediatric Testing
Tinnitus Assessment and Treatment
Electrophysiologic Testing
Auditory Processing Assessment and Treatment
Intraoperative Monitoring
Aural Rehabilitation
Implantable Hearing Aids
Yes
No
Have you had the opportunity to do clinical rotations in a private practice setting? :
Referral Name and Member ID:
Preferred Geographic Setting: (please hold down CTRL key to indicate all that apply):
Urban
Suburban
Rural
International
Does your University require business courses as part of your Au.D. Curriculum? :
Yes
No
Is Private Practice Your Planned Future Practice Setting?
Definitely Yes
Very Likely
Maybe
Very Unlikely
Definitely No
Please Provide Highest Degree Currently COMPLETED.:
If your career interest is private practice, please describe in one short sentence why: :
Which type of position are you most interested in?
Ownership
Non-Ownership