1. Time Zone (GMT-10:00) America/Adak (GMT-10:00) Hawaii (GMT-09:00) Alaska (GMT-09:00) America/Anchorage (GMT-09:00) America/Metlakatla (GMT-09:00) America/Nome (GMT-09:00) America/Sitka (GMT-09:00) America/Yakutat (GMT-08:00) Pacific Time (US & Canada) (GMT-07:00) America/Boise (GMT-07:00) Arizona (GMT-07:00) Mountain Time (US & Canada) (GMT-06:00) America/Indiana/Knox (GMT-06:00) America/Indiana/Tell_City (GMT-06:00) America/Menominee (GMT-06:00) America/North_Dakota/Beulah (GMT-06:00) America/North_Dakota/Center (GMT-06:00) America/North_Dakota/New_Salem (GMT-06:00) Central Time (US & Canada) (GMT-05:00) America/Detroit (GMT-05:00) America/Indiana/Marengo (GMT-05:00) America/Indiana/Petersburg (GMT-05:00) America/Indiana/Vevay (GMT-05:00) America/Indiana/Vincennes (GMT-05:00) America/Indiana/Winamac (GMT-05:00) America/Kentucky/Louisville (GMT-05:00) America/Kentucky/Monticello (GMT-05:00) Eastern Time (US & Canada) (GMT-05:00) Indiana (East)------------- (GMT-12:00) International Date Line West (GMT-11:00) American Samoa (GMT-11:00) Midway Island (GMT-08:00) Tijuana (GMT-07:00) Mazatlan (GMT-06:00) Central America (GMT-06:00) Chihuahua (GMT-06:00) Guadalajara (GMT-06:00) Mexico City (GMT-06:00) Monterrey (GMT-06:00) Saskatchewan (GMT-05:00) Bogota (GMT-05:00) Lima (GMT-05:00) Quito (GMT-04:00) Atlantic Time (Canada) (GMT-04:00) Caracas (GMT-04:00) Georgetown (GMT-04:00) La Paz (GMT-04:00) Puerto Rico (GMT-04:00) Santiago (GMT-03:30) Newfoundland (GMT-03:00) Brasilia (GMT-03:00) Buenos Aires (GMT-03:00) Greenland (GMT-03:00) Montevideo (GMT-02:00) Mid-Atlantic (GMT-01:00) Azores (GMT-01:00) Cape Verde Is. (GMT+00:00) Edinburgh (GMT+00:00) Lisbon (GMT+00:00) London (GMT+00:00) Monrovia (GMT+00:00) UTC (GMT+01:00) Amsterdam (GMT+01:00) Belgrade (GMT+01:00) Berlin (GMT+01:00) Bern (GMT+01:00) Bratislava (GMT+01:00) Brussels (GMT+01:00) Budapest (GMT+01:00) Casablanca (GMT+01:00) Copenhagen (GMT+01:00) Dublin (GMT+01:00) Ljubljana (GMT+01:00) Madrid (GMT+01:00) Paris (GMT+01:00) Prague (GMT+01:00) Rome (GMT+01:00) Sarajevo (GMT+01:00) Skopje (GMT+01:00) Stockholm (GMT+01:00) Vienna (GMT+01:00) Warsaw (GMT+01:00) West Central Africa (GMT+01:00) Zagreb (GMT+01:00) Zurich (GMT+02:00) Athens (GMT+02:00) Bucharest (GMT+02:00) Cairo (GMT+02:00) Harare (GMT+02:00) Helsinki (GMT+02:00) Jerusalem (GMT+02:00) Kaliningrad (GMT+02:00) Kyiv (GMT+02:00) Pretoria (GMT+02:00) Riga (GMT+02:00) Sofia (GMT+02:00) Tallinn (GMT+02:00) Vilnius (GMT+03:00) Baghdad (GMT+03:00) Istanbul (GMT+03:00) Kuwait (GMT+03:00) Minsk (GMT+03:00) Moscow (GMT+03:00) Nairobi (GMT+03:00) Riyadh (GMT+03:00) St. Petersburg (GMT+03:00) Volgograd (GMT+03:30) Tehran (GMT+04:00) Abu Dhabi (GMT+04:00) Baku (GMT+04:00) Muscat (GMT+04:00) Samara (GMT+04:00) Tbilisi (GMT+04:00) Yerevan (GMT+04:30) Kabul (GMT+05:00) Ekaterinburg (GMT+05:00) Islamabad (GMT+05:00) Karachi (GMT+05:00) Tashkent (GMT+05:30) Chennai (GMT+05:30) Kolkata (GMT+05:30) Mumbai (GMT+05:30) New Delhi (GMT+05:30) Sri Jayawardenepura (GMT+05:45) Kathmandu (GMT+06:00) Almaty (GMT+06:00) Astana (GMT+06:00) Dhaka (GMT+06:00) Urumqi (GMT+06:30) Rangoon (GMT+07:00) Bangkok (GMT+07:00) Hanoi (GMT+07:00) Jakarta (GMT+07:00) Krasnoyarsk (GMT+07:00) Novosibirsk (GMT+08:00) Beijing (GMT+08:00) Chongqing (GMT+08:00) Hong Kong (GMT+08:00) Irkutsk (GMT+08:00) Kuala Lumpur (GMT+08:00) Perth (GMT+08:00) Singapore (GMT+08:00) Taipei (GMT+08:00) Ulaanbaatar (GMT+09:00) Osaka (GMT+09:00) Sapporo (GMT+09:00) Seoul (GMT+09:00) Tokyo (GMT+09:00) Yakutsk (GMT+09:30) Adelaide (GMT+09:30) Darwin (GMT+10:00) Brisbane (GMT+10:00) Canberra (GMT+10:00) Guam (GMT+10:00) Hobart (GMT+10:00) Melbourne (GMT+10:00) Port Moresby (GMT+10:00) Sydney (GMT+10:00) Vladivostok (GMT+11:00) Magadan (GMT+11:00) New Caledonia (GMT+11:00) Solomon Is. (GMT+11:00) Srednekolymsk (GMT+12:00) Auckland (GMT+12:00) Fiji (GMT+12:00) Kamchatka (GMT+12:00) Marshall Is. (GMT+12:00) Wellington (GMT+12:45) Chatham Is. (GMT+13:00) Nuku'alofa (GMT+13:00) Samoa (GMT+13:00) Tokelau Is.
4. What is your membership type? SelectFriends & Family Professional Members Professional Non-Members Student Member Student Non-member
7. I AM REGISTERING AS A Parent (Does not include CEUs) A Professional (Includes CEU's) A Deaf and Hard of Hearing Adult (Does not include CEUs) University Student (Does not include CEUs)
8. WHAT IS YOUR PROFESSIONAL TYPE? (Check all that apply) Audiologist Certified LSLS Educator of the Deaf Physician School Administrator Speech-Language Pathologist General Special Education Teacher Mental Health Professional Professor/Researcher Other N/A
11. Race (Check all that apply) American Indian or Alaska Native Asian Black or African American White Native Hawaiian or Other Pacific Islander Do Not Wish to Provide
12. Do you have one of the following conditions or disabilities? No Yes Mobility orthopedic impairment Hearing Visual Other Do Not Wish To Provide