Graduate Student Verification Form

Graduate student members of AMTE must submit this form to verify their student status in order to qualify for
discounts on AMTE membership and/or conference registration. Once the graduate student form is completed, please click here to join AMTE as a Student member.

See the AMTE Member Information page for additional information.

Contact Information

Name *

Street Address *

City *

State/Province *

State/Province Other (please specify)...

ZIP/Postal Code *

Email *

Home Phone

Work Phone

Graduate Student Status

University *

Department *

Program *

(e.g., Ph.D. in Mathematics Education)

Expected Program Completion Date *

(e.g., May 2016)

Graduate Advisor's Name *

If you do not yet have an advisor, please provide information for a graduate program coordinator or administrator.

Graduate Advisor's Email *

Note: As a courtesy, automated email summaries of your form submission will be sent to both you and your advisor's email address. If the information is accurate, your advisor will NOT need to take any action.

I verify the above details are accurate and confirm my graduate student status: *

I am a graduate student in good standing at the above university and will be enrolled in all regular terms of the current academic year.

Other (please specify) ...

I verify the above details are accurate and confirm my graduate student status: Other (please specify) ...