IUSD Student Membership Activation Form

To activate your IUSD Student Membership, please complete the form below. IDA is incredibly sensitive to privacy! We do not sell or share personal member information.

First Name *

Last Name *

Phone Number *

Your preferred email (required) *

Your hometown and state/country *

In which IUSD program are you enrolled?

When you are not attending dental school, what would we find you doing?

Yes, I would like to activate my membership in the Indiana Dental Association and receive occasional emails from the IDA (You can unsubscribe anytime)

Constant Contact Use.

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IUSD Student Membership Activation Form

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