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    Membership Application

    The following types of institutions and organizations may become members of the CHEA International Quality Group. Select the appropriate category from the available options.

Select ONE option only:

Higher Education Institutions:

 Higher education institutions accredited by USDE- or CHEA-recognized accrediting organization.
 Higher education institutions outside the United States in good standing with their national quality assurance organizations.

Higher Education Organizations and Associations:

 Accreditation and quality assurance organizations sanctioned by government or other competent authorities.
  Higher education associations.

Governments and Businesses:

  Government agencies.
  Businesses and corporations.
  Foundations.

Individuals:

  Individuals not employed by an institution or organization eligible for CIQG membership.
Membership dues are determined using the following scale:

Institution/Organization               Annual Fee
Operating Budget                                        

Under $40 million USD $   500 US
$40 million - $300 million USD $1,000 US
Over $300 million USD $1,500 US
Individual Membership $   100 US

 
 Institution/Organization Name

 
 Contact Name

 
 Contact Title

 
 Address - Line 1

 
 Address - Line 2


 City

 State

 Zip

 Country


 Email


 Phone

 Amount Remitted $  US

For help with currency conversion, please visit: www.xe.com/ucc
IMPORTANT: Membership in the CHEA International Quality Group does not constitute CHEA membership and is not connected to CHEA recognition. For information on CHEA membership or recognition, contact chea@chea.org

Payment Options

(Please print and include a completed copy of this form when mailing payment or faxing purchase order.)
Check: Mail to CHEA, One Dupont Circle, Suite 510, Washington DC 20036
Credit Card: (We accept MasterCard, Visa, Discover, and American Express)
  Name on Credit Card
  Credit Card Type
  Credit Card Number
  Security Code: (3-digit code on MasterCard, Visa and Discover; 4-digit code on American Express)
  Expiration Date
Month: Year:
  Billing Address
  Billing Zip Code
  Email Address for Receipt:

ELECTRONIC FUNDS TRANSFER: (For wires coming from outside the United States.)
Account Holder Name: Council for Higher Education Accreditation (CHEA)
Account Number: 0005163200998
Bank: BB&T, 1909 K St. NW, Washington, DC 20006
SWIFT BIC: BRBTUS33

For questions about membership in the CHEA International Quality Group, please email member@cheainternational.org