Student Membership Registration Options Free student membership for a year Create Profile First Name * Last Name * Email Address * Username (lowercase alphanumeric) * Password (type this twice please) * password strength indicator Additional Info Chinese Name 中文姓名(请用中文填写真实姓名) * Gender 性别 * Institution 所属机构 * Institution Position 职位/身份 * Field or Major 专业 * Expected Year of Graduation (if student) 预计毕业年份(学生填写) * Highest Degree Earned 最高学位 * Institution Awarding Degree 毕业院校 * Year Degree Awarded 毕业年份 * Street Address 地址街道 City 城市 State / Province 省份/州 Postal / Zip Code 邮编 Country 国家 * Cellular Number 手机号码 Work Number 工作电话 * WeChat ID (for invitation to ACHPPI Member WeChat Group; please put N/A if you don't have a WeChat account) 微信号(用于添加至ACHPPI会员微信群;如果没有微信,请填写N/A) * Preferred Language 主要使用的语言 * 中文English Are you willing to make your personal information (name, institution, email, city) public on our website? This information is accessible to members only. 你是否愿意在网站上公开你的个人信息(姓名、机构、邮箱、所在城市)?这些信息仅限会员可见。 * Yes 愿意No 不愿意 Additional Information 补充信息(非助人行业的学生/从业者,请说明为什么想要加入我们) I hereby confirm that the information provided is true and accurate 我确认以上填写的信息均真实准确 * I hereby confirm that the information provided is true and accurate 我确认以上填写的信息均真实准确 Complete Registration Submit Form