ILA Graduate Student Group/Cohort Membership Interest Form

Thank you for your interest in the ILA Graduate Student Group/Cohort Membership. Please take a

minute to fill out the form below, and I will follow up with you on the next steps.

In the meantime, if you have any questions, please contact me at mboyd@ilaglobalnetwork.org or

1.202.470.4818 x104.

Best,
Marcia Boyd
ILA Membership Director

On the form, * denotes a required field

Program Type*

When would you like your students to join ILA?

What month?

First Name*

Last Name*

Job Title*

Organization*

Department

Phone Number

Mobile Phone Number

Email*

Mailing Address*

City*

State/Province/Region*

Zip Code/Postal Code*

Country*

How would you like me to contact you?

Business phone

Mobile phone

Email is best

When is the best time to reach you? Please add your time zone as well.