EPIC Membership

If you already have an EPIC account, please log in first! You will not be able to create another account with the same email address. The profile info you provide helps us understand the EPIC community. It's private and not used for any other purpose.

Terms:

$150 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Pronouns She/her, he/him, they/their, or however you prefer to be referenced! (Learn more at pronouns.org): Pronouns She/her, he/him, they/their, or however you prefer to be referenced! (Learn more at pronouns.org) is not valid

City:* City is Required

State/Province:* State/Province is Required

Country:* Country is Required

Organization:* Organization is Required

Role/Job Title:* Role/Job Title is Required

Organization Type:* Organization Type is Required

Organization Industry Sector:* Organization Industry Sector is Required

Organization Location To select multiple options, hold Command (Mac) or Ctrl (PC):* Organization Location To select multiple options, hold Command (Mac) or Ctrl (PC) is Required

Organization Size:* Organization Size is Required

Specializations To select multiple options, hold Command (Mac) or Ctrl (PC):* Specializations To select multiple options, hold Command (Mac) or Ctrl (PC) is Required

Other Specializations: Other Specializations is not valid

Highest Degree:* Highest Degree is Required

Highest Degree Field:* Highest Degree Field is Required

Newsletter Opt-In Approx 2x/month:* Newsletter Opt-In Approx 2x/month is Required

Job Alerts Opt-In 1x/week:* Job Alerts Opt-In 1x/week is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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Description	Amount
EPIC Membership – Initial Payment	$150.00
Total	$150.00

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