Membership Application
First Name
Last Name
Email
Please select the membership type that best describes you.
Please select...
Member- I identify as a gender minority AND Black, Indigenous, Person of Color/Person from the Global South
Friend of MISS- The above does NOT describe me
How did you hear about us?
Please select...
Facebook
Twitter
Instagram
TikTok
Email Blast
Outreach Event/Speaking Engagement
Internet Search
Word of Mouth
Tell us a little about yourself and why you want to be part of this community
Which best describes you?
Please select...
High school/pre-college
Undergraduate Student
Recent Graduate
Graduate Student
Early Career
Mid-career
Late Career
Institution/Employer/Affiliation (if applicable)
What time zone are you in?
Please select...
UTC-12:00 (International Date Line West)
UTC-11:00 (Samoa Standard Time)
UTC-10:00 (Hawaii-Aleutian Standard Time)
UTC-09:00 (Alaska Standard Time)
UTC-08:00 (Pacific Standard Time)
UTC-07:00 (Mountain Standard Time)
UTC-06:00 (Central Standard Time)
UTC-05:00 (Eastern Standard Time)
UTC-04:00 (Atlantic Standard Time)
UTC-03:00 (Greenland Standard Time)
UTC-02:00 (Fernando de Noronha Standard Time)
UTC-01:00 (Azores Standard Time)
UTC±00:00 (Greenwich Mean Time)
UTC+01:00 (Central European Time)
UTC+02:00 (Eastern European Time)
UTC+03:00 (Moscow Standard Time)
UTC+04:00 (Gulf Standard Time)
UTC+05:00 (Pakistan Standard Time)
UTC+06:00 (Bangladesh Standard Time)
UTC+07:00 (Indochina Time)
UTC+08:00 (China Standard Time)
UTC+09:00 (Japan Standard Time)
UTC+10:00 (Australian Eastern Standard Time)
UTC+11:00 (Central Pacific Time)
UTC+12:00 (New Zealand Standard Time)
What country are you located in?
Please select...
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Congo-Brazzaville)
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic (Czechia)
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor-Leste)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (fmr. ""Swaziland"")
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar (formerly Burma)
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia (formerly Macedonia)
Norway
Oman
Pakistan
Palau
Palestine State
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City (Holy See)
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
If USA is chosen -> What state are you located in?
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Guam
Northern Mariana Islands
Puerto Rico
U.S. Virgin Islands
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