Education & Research

Student Chapter Registration

Please complete the form below to register your student chapter for the 2019 – 2020 year.

Deadline is October 1, 2019.

Please email or call 312-440-8900 with any questions.

Please note: * = Required Field

Program & Chapter Information

Student Advisor Information

Student President Information (contact ADHA at or 312-440-8900 if you do not currently have a president)

Optional Information

Program/Chapter Social Media Accounts