Professional & Associate Membership Form

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Membership Type

Member Information

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Email is our primary means of communication with our members. Your email address is NEVER shared with any third party.

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Academic Information

Work Information

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Specialty (select all that apply)

Pediatrics

Central Auditory Processing

Hearing Aid Services

Aural Rehabilitation

Cochlear Implants and Implantable Devices

Vestibular

Membership Communication Benefits

Other Memberships/Certifications

AAA member

ADA member

ASHA member

ABA certified

ASHA certified

By applying for ILAA membership, you agree to accept postal mail, electronic mail, telephone calls, and other communication from ILAA unless you notify us in writing that you do not wish to receive such communications.

By joining ILAA you automatically receive a listing in our online membership directory (accessible only by members). If you wish to EXCLUDE some or all of your information please indicate below:

By joining ILAA you automatically receive a business listing in the online consumer tool. "Find An Audiologist". Check here if you do NOT wish to take advantage of this member benefit.

ILAA occasionally provides member contact information (excluding email addresses) to industry related businesses supplying products or services, offering CE opportunities, and announcing job opportunities. Check here if you do NOT wish to take advantage of this member benefit.

Volunteers are critical to the success of the Academy! Check here if you have interest in active participation in ILAA.

NOTE: Any member may submit a resignation, in writing, to the Vice President of Membership at illinoisacademyofaudiology@gmail.com. The resigning individual shall cease to be a member of the Academy as of the date such resignation is submitted. Dues paid are not refundable.

ILAA provides the opportunity for you to list additional contact information, multiple practice locations, and services provided in your online membership profile. This information is used for the membership directory and the online consumer tool, "Find An Audiologist". Please email any additional information you would like to be included to illinoisacademyofaudiology@gmail.com.

By clicking SUBMIT, you are certifying that the information you provided is correct, that you have had no violations of your state license, and that you agree to abide by the AAA Code of Ethics.

Once you click SUBMIT, you will be directed to pay membership dues.

Contact

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(224) 505-3328

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