Human Factors and Ergonomics Society Europe Chapter
Membership -Associate

Applying for Associate membership

If you would like to apply for associate membership, please complete this application form and click on Submit when ready to send.
Alternatively you can download all the forms in Word format (size 35 k) and send or fax these to the address indicated at the bottom of this page.

Your title, full first name, further initials and last name:
Your address:

Employment (name of organisation, dept./group):

Employment address:

Job title/position:
Your Email address:
Home Phone:
Work Phone:
Work Fax:
Work Homepage:
Send future mail to:

Do you now hold any form of membership in the Human Factors and Ergonomics Society?

Yes, I am a Member
Yes, I am a Fellow
No, I do not hold a membership of the HFES (yet)

Your academic education: (Text fields will scroll, you may enter longer lines)

Academic Degrees Year Academic Speciality College/University Location
1
2
Current Work areas:
Other Human Factors Interests:

Work experience section
Please describe your work experience in Human Factors and related fields.
Start with your most recent experience.
Brief description of Work Experience
Title:
Organisation:
Location:
From/to:
Title:
Organisation:
Location:
From/to:
Title:
Organisation:
Location:
From/to:
Annual membership dues are: euro sign 18.00.

Alternatively you can

fill it out and send it to:

The Membership Committee Chair
   Dr. D. de Waard
   HFES Europe Chapter
   University of Groningen
   Department of Psychology
   Grote Kruisstraat 2/1
   NL 9712 TS GRONINGEN
   The Netherlands

Date:

If you have difficulty with (any part of) this form just contact me at [delete_this]d.de.waard@hfes-europe.org.

The official membership text is here

Back to previous membership page