1 Start 2 Payment 3 Complete ASE SDtudent Teacher membership is designed to support you through your teacher training. It gives you access to 100’s of resources and a network of other science professionals and teachers through events and workshops. Please complete this form to proceed with your membership application. On the checkout page you will be given the option to either check out via credit or debit card, or select an invoice. If needed you will also be able to input a Purchase Order Number. If you select invoice this will be emailed to the email address used on the form below. The invoice will be attached to the email confirmation of your details. Membership options (please select) Membership Type * - Select -Primary Student Teacher - 1yStudent Teacher - 1y Select an Add On: If you would like to add Science Teacher Education Journal to your membership, please select from the below. - None -Science Teacher Education Journal (Add On) Your details Title * - Select -DrMissMrMrsMsMxProf.BaronessDameLadyLordRevSirSister First Name * Last Name * Job Title * Your Institution/School Name Email * Phone * Your contact addressPlease specify your correspondence address i.e. where magazines should be sent to. Please enter your postcode and select the correct result. Postcode search * Street Address * Street Address Line 2 Street Address Line 3 Town / City * County Country * United Kingdom Your communication preferences Select your ASE Region * So that you receive news and events based on where you are - please select the ASE region you would like to join. - Select -Anglia (Norfolk, Suffolk and Cambridgeshire)Berkshire & OxfordshireCymru WalesHome Counties (Bedfordshire, Buckinghamshire and Hertfordshire)LondonNorth East London & Essex (Essex, Waltham Forest, Barking and Dagenham, Newham, Havering and Redbridge)North East (Northumberland, Tyne and Wear, Durham)North & East Midlands (Nottinghamshire, Derbyshire, Leicestershire, Northamptonshire, Lincolnshire and Rutland)North West (Cumbria, Lancashire, Greater Manchester, Merseyside, Cheshire and Isle of Man)Northern IrelandScotlandSouth East (Kent, Bromley and Bexley)South West of England (Devon, Cornwall and Isles of Scilly)Southern Counties (Hampshire, Dorset, Isle of Wight, Channel Islands)Surrey & SussexWest Midlands (Herefordshire, West Midlands, Shropshire, Staffordshire, Worcestershire and Warwickshire)West of England (Bristol, Gloucestershire, Somerset, and parts of Wiltshire and Dorset)Yorkshire and the Humber (All areas)BFPO What are your areas of interest? * BiologyChemistryLeadershipEducational ResearchPhysicsPrimary ScienceProfessional DevelopmentSENDSTEMTeacher Education How would you like us to keep in touch? * PhoneEmailPostal MailSMS How did you hear about us? - None -EmailFriend/ColleagueNewsletterOtherSocial MediaTutor/Course InstructorWebsiteASE member sponsor Birth Date (Optional) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Please select the gender you identify most with (Optional) - None -FemaleMaleLet me typePrefer not to say Please type below What is your ethnic group? (Optional) - None -Asian or Asian BritishBlack, African, Black British or CaribbeanMixed or multiple ethnic groupsWhiteAnother ethnic groupPrefer not to say Which one best describes your Asian or Asian British background? - None -IndianPakistaniBangladeshiChineseAny other Asian background Which one best describes your Black, African, Black British or Caribbean background? - None -AfricanCaribbeanAny other Black, African or Caribbean background Which one best describes your Mixed or Multiple ethnic groups background? - None -White and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or Multiple ethnic background Which one best describes your White background? - None -English, Welsh, Scottish, Northern Irish or BritishIrishGypsy or Irish TravellerAny other White background Which one best describes your background? - None -ArabAny other ethnic group Please type below Please confirm that you understand and agree to our Data policy * I accept the terms and conditions