Membership Application ⇽ [For Members] IVSA Members Registration | International Veterinary Students' Association on Glue Up

Uploading an image is mandatory

Please enter a first name

If you input more than 0 characters your First Name may not display properly

Please enter a last name

If you input more than 0 characters your Last Name may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

If you input more than 0 characters your Email Address may not display properly

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your Password may not display properly

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your Confirm password (at least 8 characters) may not display properly

Please enter a first name

If you input more than 0 characters your First Name may not display properly

Please enter a last name

If you input more than 0 characters your Last Name may not display properly

Please enter a valid email address
e.g. john.doe@glueup.com

If you input more than 0 characters your Email may not display properly

Please enter a nickname

If you input more than 0 characters your Nickname may not display properly

Please enter a valid phone number including country code

If you input more than 0 characters your Phone may not display properly

Please enter a valid date
e.g. mm/dd/yyyy, dd-mm-yyyy or yyyy-mm-dd

Please enter a value for the other option. The value cannot exceed 255 characters.

Please select an option

Please enter a value for the other option. The value cannot exceed 255 characters.

Please select an option

Please enter a number greater than 2,009

Please enter a number greater than 2,021

Please select an option

Please enter a region

Please select an option

If you input more than 0 characters your City may not display properly

Please enter a what is the name of your university in english?

If you input more than 0 characters your What is the name of your University in English? may not display properly

Please select an option

Please enter a how long is your vet school duration ?

Please enter a company

Select one or more options

Maximum limit reached (255 characters).

Select one or more options

This checkbox is mandatory

If you input more than 0 characters your Email Address may not display properly

If you input more than 0 characters your Phone may not display properly

If you input more than 0 characters your Password may not display properly

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your New Password may not display properly

Please make sure this password matches the password above

If you input more than 0 characters your New Password may not display properly

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

If you input more than 0 characters your New Password may not display properly

Please make sure this password matches the password above

If you input more than 0 characters your New Password may not display properly

Glue Up account creation information.

Please fill in your member application details.

Glue Up account creation information.

Please fill in your member application details.

Consent