Become an ACUPA Member

Simply fill out the form below to become a member. Membership is restricted to those with an affiliation with a higher education institution. You can discontinue your ACUPA membership and remove your name from the ACUPA listserv here.

NOTE: Once you have completed this membership form you will be added to the ACUPA listserv. Please note that because we have been getting increasing amounts of spam on this form, when people submit an email address, ending in ".com", we no longer accept memberships with ".com" addresses through this membership form. If you are associated with a higher education institution, and have a ".com" address, please send us an email to with the requested information.

Please accept my membership request to ACUPA.

First Name:
Last Name:
Preferred Message Delivery:
Policy Website URL:
  • Check here if you agree that we may display your name, phone number and email address in the Online ACUPA Directory.

Policy Related Role
Select the policy related role(s) you hold at your institution.

  1. In your job at your institution is your role that of a:
    (check all that apply)
    • Policy Owner (e.g., primary policy responsibility and enforcement rides with you); or,
      Policy Writer (e.g., primary drafting of policies, find best practices and use those tools in the drafting stage); or,
      Policy Approver (e.g., primary policy approval resides with you); or,
      Policy Administrator (e.g. primary policy role is overseeing a policy office and the entire process for a unit, department, campus or institution; coordinating and managing policy process resides with you); or,
      Some other role? Please describe: