Membership Application Form

Thank you for your interest in joining IAPRD. If you are a current member, please login and visit our membership renewal page. This page is for new members wanting to apply.

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Optional Notes to Applicant

If you are rejecting an application, you may add notes here that will be added to the email sent to the unsuccessful applicant.

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Entry User Role

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Member Directory Entry ID

Personal Information

Name(Required)

First Middle Last

Email(Required)

Highest Degree Earned(Required)

Please upload your CV.(Required)

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Accepted file types: pdf, Max. file size: 5 MB, Max. files: 1.

IAPRD Journal Access(Required)

Please indicate if you have access to IAPRD's journal through your institution or will be requesting it through this website (once available).

Account Information

Desired Username(Required)

Password(Required)

Organization / Affiliation

Organization Name(Required)

Title and Department(Required)

Organization Address(Required)

Street Address Bldg/Suite/Apt City State / Province / Region ZIP / Postal Code Country

Current Citizenship(Required)

Please select your current citizentship to get membership dues for your country.

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Country Income Level Classification (World Bank 2024)

Select the type of membership for which you are applying.

Junior Members: To be admitted as a Junior Member, candidates must be undergoing professional training in the general area of parkinsonism and related disorders, be under 35 years of age, and declare that they endorse the objectives of the corporation. Junior Members do not pay dues.

Full Members: Professionals who have completed their training in neurology, allied health professions, neuroscience, or related fields.

All Members must endorse the mission of the IAPRD.

Membership Type(Required)

Junior Member

Full Member

Junior Membership Eligibility

Date of Birth(Required)

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Candidate Age

Documentation of Trainee Status(Required)

Please upload a document that demonstrates your current status as a trainee.

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Accepted file types: pdf, Max. file size: 5 MB, Max. files: 1.

Payment Information

Membership Dues(Required)

This may appear as $0 until you make all selections on this form.

Price:

Total

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Total Number

Payment(Required)

Other Items

How did you hear about the IAPRD?(Required)

Other additional info(Required)