MEMBERSHIP APPLICATION/RENEWAL

Items marked with a * will appear in MESA’s Roster of Members (published in even years only). Items marked with a # are gathered for statistical purposes only and are optional. If you have problems with this form, please contact Sara Palmer at palmers@email.arizona.edu

Once you complete and submit this application you will be directed to a page where you can make your secure on-line payment. This application will not be processed until payment has been received.

What year are you applying for?  Membership is on a calendar-year basis, January 1 to December 31.

Is this a: NEW APPLICATION RENEWAL (please complete New Discipline & Sub-Area Categories & any other changed items)

*Membership Category
Full
(individual who has received a doctorate related to Middle East studies and/or who has taught in Middle East studies and/or has made a scholarly contribution to the field)		  
Student
(registered student interested in Middle East studies; proof of status is required)		  
Associate
(individual interested in the study of the Middle East, not working in an academic occupation)		  
Retired
(retired individual with 10 consecutive years MESA membership)		  
Joint Member  
Life Member    
MESA/MEOC Joint
(member of the Middle East Outreach Council and member of MESA; available to K-12 and junior college teachers; receives MESA Newsletter and member discounts).		    
*International postage  
       
DUES      
$<15,000     $40
$15,001 - $30,000     $55
$30,001 - $40,000     $75
$40,001 - $50,000     $90
$50,001 - $60,000     $100
$60,001 - $70,000     $110
$70,001 - $90,000     $120
$90,000 and above     $135
Joint member (Fellow, Associate, or Student (in addition to primary member dues)     $20
Student     $40
Retired     $45
International Postage (for member resident in Australia, Hong Kong, Japan, New Zealand, Singapore, Taiwan, & Western European Countries.)     $15
       
CONTRIBUTIONS
Give to the 40th Anniversary Campaign!
 $40 or more gets you a commemorative lapel pin
 Donations to MESA are tax deductible
Please make contributions in $10 increments.		    
Please select the fund and amount you wish to contribute      

MESA General Fund

     $

Albert Hourani Book Award Fund

     $

Malcolm H. Kerr Dissertation Awards Funds

     $

MESA Mentoring Award Fund

     $

MESA Student Annual Meeting Travel Fund

     $

MESA Annual Meeting ChildCare Fund

     $

Registration for the MESA 2006 Annual Meeting
(November 17-20, Boston Marriott Copley Place, Boston, MA)

Please Select Appropriate Category      
Full/associate member   $70
Student/retired member   $33
Student, non-member   $50
Other, non-member   $88
       
       
       
   

PLEASE INDICATE TOTAL AMOUNT DUE: $

 

General Information

*Last Name                                First Name & MI
 

 
Affiliation/Institution
   
Membership Directory Address (for on-line directory and printed 2006 Roster of Members)
*Department
*Institution or Business
*Business Street Address
*City
*State
*Postal Code
*Country
 
If mailing address is the same as above, please check here and don't complete mailing address section.  Otherwise, provide alternative mailing address to receive publications and notices (e.g. home address).
Mailing Address
Continued
City
State
Postal Code
Country
  A "Yes" indicates the contact will be available publicly  by being included in the on-line membership directory and the printed 2006 Roster of Members.
*Business Phone Public? yes no
*Fax Number Public? yes no
*Home Phone Public? yes no
*E-mail Public? yes no
#Gender Male Female  
#Ethnicity
#Date of Birth
#Country of Residence  
#Country of Birth  
#Country of Citizenship
   

*Title/Occupation 

 

*Education

*Highest Degree Completed    *Year Granted 
*Granting Dept.  *Institution  

*Discipline (select one)

*Sub-Areas (select up to five)

Choice #1
 Choice #2
 Choice #3
 Choice #4
 Choice #5

*Specialties (indicate your main specialties and research interests. List no more than three and be concise - max. of 45 characters)

1.
2.
3.

*Geographical Areas of Interest (select up to three)

Choice #1 Choice #2 Choice #3

*Languages (check the skill level next to the appropriate language)

None

 Elementary Intermediate Advanced Fluent Native
Arabic
Armenian
Azeri
Assyrian
Chinese
French
German
Greek
Hebrew
Italian
Japanese
Kazakh
Kurdish
Kyrgyz
Pashto
Persian
Russian
Spanish
Tajik
Turkish
Uzbek

Message to Membership Coordinator