Membership Checkout Membership Information You have selected the Young Professional $50 MICs membership level. The price for membership is $50.00 per Year. Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Personal Information Prefix Dr. Mr. Ms. Mrs. First Name Middle Name Last Name Designation/Degree (e.g., MD, MPH, RN) Birthdate Street Address Write full address Organization & Contact Organization / Employer Title / Position Biographical Summary Income Classification HIC MIC LIC Student Details (if applicable) Status Full-Time Part-Time School/University Expected Graduation Date Professional Information Role Physician Public Health Professional Researcher Educator Healthcare Executive Policy Advocate Student Professional Setting Government Agency Academic Institution NGO/Nonprofit Private Sector Consultant Other Areas of Expertise Maternal and Child Health Non-Communicable Diseases (NCDs) Infectious Diseases and Epidemic Preparedness Antimicrobial Resistance (AMR) Clean Water and Sanitation Health Equity and Social Determinants of Health Mental Health and Well-Being Climate Change and Health Global Vaccination and Immunization Digital Health and Health Informatics Health Workforce Development Quality Improvement and Patient Safety Health Policy and Advocacy Nutrition and Food Security Global Health Education and Training Disaster Response and Emergency Preparedness Indigenous and Marginalized Populations Health Cancer Control and Palliative Care Maternal Nutrition and Breastfeeding Advocacy Urban Health and Health Systems Strengthening Youth and Adolescent Health Global Health Financing and Economics Refugee and Migration Health Global Surgery and Anesthesia Aging and Elderly Care Other (select up to 3) Area Of Interest Maternal and Child Health Non-Communicable Diseases (NCDs) Infectious Diseases and Epidemic Preparedness Antimicrobial Resistance (AMR) Clean Water and Sanitation Health Equity and Social Determinants of Health Mental Health and Well-Being Climate Change and Health Global Vaccination and Immunization Digital Health and Health Informatics Health Workforce Development Quality Improvement and Patient Safety Health Policy and Advocacy Nutrition and Food Security Global Health Education and Training Disaster Response and Emergency Preparedness Indigenous and Marginalized Populations Health Cancer Control and Palliative Care Maternal Nutrition and Breastfeeding Advocacy Urban Health and Health Systems Strengthening Youth and Adolescent Health Global Health Financing and Economics Refugee and Migration Health Global Surgery and Anesthesia Aging and Elderly Care Other Engagement Options Would you like to be featured in the GHQA Member Spotlight? Yes No How did you hear about GHQA? Website Social Media Referral Event Other Consent & Signature I agree to the GHQA Membership Terms & Conditions. I understand that membership fees are non-refundable. Processing...
