Membership Registration

1

Personal Information

Full Name *

Date of Birth *

Gender *

Contact Number *

Email Address *

Address *

2

Membership Category

Select the grade you are applying for. The registration fee is calculated based on the selected tier:

Student Membership (SOSHA)

$5.00 / yr

This membership is designed for students interested in building a career in occupational safety and health.

Graduate Membership (GOSHA)

$45.00 / yr

For recent graduates looking to gain foundational exposure in the safety industry.

Associate Membership (AOSHA)

$60.00 / yr

For experienced professionals outside of the safety field who want to transition or expand their knowledge into occupational safety.

Full Membership (MOSHA)

$75.00 / yr

For experienced safety practitioners aiming to advance in their career and establish their presence in the field.

Fellow (FOSHA)

$745.00 / yr

Reserved for seasoned professionals with 10+ years of experience or significant contributions to occupational safety.

3

Academic / Professional Information

Current Education / Professional Status *

Years of Experience (if applicable)

Qualifications (Please list relevant degrees or certifications) *

4

Additional Information

How did you hear about OSHA?

5

Supporting Documents

Please confirm the documents you will provide as per your category, and optionally upload them now (PDF, JPG, PNG up to 10MB):

ID for Student Membership (SOSHA) Degree Certificate for Graduate Membership (GOSHA) Professional Certifications (if applicable for Associate, Full, or Fellow Membership)

Upload Supporting Files (Optional at this stage) Uploading files, please wait...

6

Payment Information

Preferred Payment Method *

Bank Transfer Credit / Debit Card Secure Online Portal

7

Acknowledgment & Declaration

By submitting this form, I agree to abide by OSHA’s rules and ethics and confirm that all information provided is accurate.

Signature (Type Full Legal Name) *

Date

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Occupational Safety and Health Association (OSHA)