Student Member Personal Info
PRIMARY IDENTITY
Provide your full legal first, last and if appropriate, middle name. Do not use initials, nicknames or diminutives such as "Deb" or "Al" unless it is part of your legal given name. The name entered here will be recorded in the official SAMRT member register so be sure to use proper case. Once entered, you cannot change it without making application to the SAMRT Council. A Change of Name application form in PDF format is available for download by clicking here.
Legal Name
Provide any other surname(s) by which you have been known, or that may appear on your education or certification credentials (eg. a maiden name). If more than one, separate each name by a comma (eg. Smith, Brown).
Select your date of birth from the pop-up calendar. Click the "<" or ">" button to go backward or forward by months. Click the "<<" or ">>" button to go backward or forward by years. Click and hold any of these buttons for a drop-down selection. Click the close (X) button when the correct date is selected.
PRIMARY CONTACT INFORMATION Please provide your primary address information. This will be the main contact address to which official SAMRT written communication will be directed.
Address
PRIMARY CONTACT INFORMATION Please indicate the type of address provided (Home or Work).
Please provide your primary email address. IT IS IMPORTANT TO REMEMBER THAT OUR PASSWORD RETRIEVAL SYSTEM WILL SEND YOUR PASSWORD TO THIS EMAIL ADDRESS AS WELL AS YOUR SECONDARY EMAIL ADDRESS (IF SPECIFIED BELOW). IF YOU SHARE EITHER EMAIL ACCOUNT WITH ANYONE ELSE (A DEPARTMENTAL ACCOUNT FOR EXAMPLE) THOSE PERSONS MAY THEN HAVE ACCESS TO YOUR PASSWORD RETRIEVAL MESSAGE AND THEREBY YOUR SAMRT LOGIN CREDENTIALS AND PRIVATE MEMBER PROFILE.
Please indicate the type of email address provided (Home or Work). The address provided will be the main email address to which official SAMRT communication will be addressed.
If you wish to receive email communication from SAMRT at a second email address, enter it below. Email will be sent to this address in addition to the primary email address you provided above. This may be useful if you change email service providers, or are subject to email message quotas that may cause mail to be lost when your mailbox is full. By having a second address, you are less likely to miss important communication from the SAMRT.
Please enter your home phone number. If you do not have a home phone but use a cell phone instead, enter your cell phone number here.
Login Information - create or edit your login credentials