AARC Web Student Program - School Registration Form

Welcome Program Directors! We invite you to participate in the AARC Web Student Program. This program allows your students to receive a free web-only membership for up to 2 years of their respiratory care education. The only requirement is that all of your faculty for the respiratory care program are current AARC members.

Please take a few minutes to fill out this form. If you have questions, please hit the reset button at the bottom of the page to clear the form and then contact Denise Smith in AARC Customer Service at dsmith@aarc.org or by phone at 972-406-4696.

School Information

Name of School:

Program Director:

PD's Email Address:

Street Address:

City:

State/Province:

Zip/Postal Code:

Additional Information

Please enter your faculty information below. If you need more space, please select "Add more lines" and 5 more slots will appear.

Please enter your faculty information below.

Add more lines:

First Name

Last Name

Member Number

Email Address

You must click this box before you can submit this form.

Information Verification

Yes

I verify the data I have input is valid and current.
Name: