Membership Application Before you complete your membership application please review the information on the "Join" webpage under the "Membership" section of the website. If you have questions about your TEXAAN membership please contact the Vice President of Membership & Treasurer via e-mail at email@example.com. Membership Status Please select one: ---I am a new TEXAAN MemberI am a renewing TEXAAN Member Contact Information First Name: Last Name: Your Email: Job Title: Institution: Department/College: Street Address: Building/Room: City: State: Zip Code: Phone Number: Fax Number: Demographic Information Role: ---Academic AdvisorFaculty AdvisorAcademic CounselorAdvising AdministratorLicensed CounselorNon-InstitutionalStudentPrefer not to answerOther If other, please list: Ethnic Background: ---American Indian/First NationsAsianAfrican-American/BlackLatino/HispanicMulti-EthnicCaucasian/WhitePrefer to not answerOther If other, please list: Gender: ---FemaleMaleTransgenderPrefer not to answer Years of Advising: ---Less than 3 years3-5 years6-10 years11-15 yearsMore than 15 yearsPrefer not to answerNot applicable Highest Degree: ---Associate'sBachelor'sMaster'sDoctorateOther If other, please list: Enrollment at your institution: ---Less than 1,0001,000-4,9995,000-9,99910,000-19,999More than 20,000Not Applicable Payment After you submit your membership application review the "Membership Dues and Payment" section on the "Join" webpage for more information about payment options. An invoice will be emailed to you within two weeks of your application submission. After payment is received, we will email you a receipt. TEXAAN membership is non-refundable and non-transferable.> Please select your intended payment method below: ---PaypalCheckPurchase Order By checking this box, I understand that my membership status will not be current until payment is received. After you submit your application you will see a confirmation page and receive a confirmation email indicating your membership application has been successfully submitted. Please remain patient as it may take a few minutes, do not try to repeat submission. If you have any questions and/or concerns about membership, contact the Vice President of Membership & Treasurer via email firstname.lastname@example.org.