Membership Application

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This application form is for both regular applicants and student applicants. Please ensure you enter the correct information as it applies to your application type.

Account Information
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General Information
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Address Information
Employment/Educational Information
Please enter educational information if you are applying as a student and employment information if you are applying as a regular member.
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For verification of employment.
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Membership Sponsors
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Application Authorization
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I herby authorize agents of the HTCIA to conduct an investigation of my application, which may consit of employment, background, and public record checks, to determine my suitability for membership. The undersigned applicant declares that he/she meets the requirements and qualifies for membership in the HTCIA as set forth in Article V of the Associations Bylaws.