Student Membership "*" indicates required fields 123Payment First Name* Last Name* Email Address* Your Website Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone*College, University, or Educational Inst. at which you are completing your studies Degree program in which you are currently enrolled* Anticipated Date of Graduation* MM slash DD slash YYYY Date of Birth (student members must be at least 21 years of age)* MM slash DD slash YYYY Interest and TrainingInterest in Collaborative Process*Please describe your interest in the collaborative process and how you found CDN.Collaborative Training*Have you participated in a two-day introductory collaborative training sanctioned by the IACP or any other collaborative educational event? If so, through what organization did you complete your training and when did you complete your training? Membership DuesDues for Student Members are $25 annually.AgreementAs a Student Member of CDN, I agree to abide by all of the Membership Requirements of CDN and will not use or share member contact information to which I may have access for purposes of advertisement or selling. I also agree that I will not use the CDN logo in any form, including, but not limited to, in promotional materials and resumes, but I may use freely “Student CDN Membership”. I Agree Student Membership* Price: Total Billing Address Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Credit CardCard Details Cardholder Name Δ