Follow the steps to complete the membership agreement with ease.

1. Click ‘Get Form’ button to access the membership agreement and open it in your preferred digital editor.
2. Provide your full name as the Faculty Representative in the designated fields for 'First' and 'Last'. Ensure correct spelling for accurate identification.
3. Enter your degree(s) carefully in the corresponding section to reflect your academic qualifications.
4. Fill in your academic rank in the provided area, ensuring it aligns with your current position.
5. Specify your title(s) within the organization in the relevant fields, making sure to include any titles that apply to you.
6. Complete the department field by indicating the name of your department to provide context for your role.
7. Enter your academic institution's name in the specified section to identify the institution you represent.
8. Provide your location details, including city, state/province, zip/postal code, and country to ensure accurate contact information.
9. Input your email address in the designated space for correspondence regarding the membership agreement.
10. Select your membership category by checking the appropriate box for either departmental or institutional approval.
11. For departmental membership, include the department chair's name and ensure they provide a signature in the indicated area.
12. For institutional membership, confirm approval from institutional leadership and select the appropriate role (e.g., President, Dean) before obtaining their signature.
13. Ultimately, sign and date the agreement as the Faculty Representative, ensuring the date is accurate.
14. After completing the form, save your changes. You can download, print, or share the form as required, or send it via fax or email to the designated contact.

Complete the High Value Practice Academic Alliance Membership Agreement online today to join this collaborative network.