Associate member form

If you would like to apply for associate membership, please complete this application form and click on Submit when ready to send.

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

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

(Employment) address:

Job title/position: *

Your Email address: *

Work Phone:

Work Homepage:

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)

If my application is approved the HFES Europe Chapter privacy policy applies. (The privacy policy describes which of your personal data are stored and shared for which purpose and how you can request to have your data deleted from the directory. Nothing spectacular, but good to have a look). *

I have read and agree with the chapter’s privacy policy

Link to: HFES Europe Privacy Policy

Academic Degrees

Year

Academic Speciality

College/University

Location

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.

Title:

Organisation: *

Location:

From/to:

Title:

Organisation:

Location:

From/to:

Title:

Organisation:

Location:

From/to:

 

 

 

reCAPTCHA

Annual membership dues are: € 20.00.