RECENT GRADUATE Please complete both sides

U.S. Federal I.D. No. 23-7067291

MEMBERSHIP APPLICATION Phone: +1.847.660.5505 • Fax: +1.847.253.1443
www.isaca.org/join Email: recentgraduates@isaca.org

n MR. n MS. n MRS. n MISS n OTHER _______________ Date________________________________

MONTH/DAY/YEAR
Name__________________________________________________________________________________________________________________________________
FIRST MIDDLE LAST/FAMILY
_______________________________________________________________________________________________________________________________________
PRINT NAME AS YOU WANT IT TO APPEAR ON MEMBERSHIP CERTIFICATE
Residence address______________________________________________________________________________________________________________________
STREET
______________________________________________________________________________________________________________________
CITY STATE/PROVINCE/COUNTRY POSTAL CODE/ZIP
Residence phone ___________________________________________________ Email address__________________________________________________
AREA/COUNTRY CODE AND NUMBER

Birth Year_________________________ College or University recently graduated from:_______________________________________________________

Date of Graduation:_________________ Degree program: n Undergraduate n Graduate n Doctoral
Verification of your Recent Graduate Status
To become a recent graduate member, you must have graduated from a recognized college or university within the last two (2) years, with a minimum four (4) year degree. You will need to attach one of the following
as verification: a copy of your unofficial transcript indicating your date of graduation; a copy of your college diploma; or a letter from the Registrar on university letterhead specifying your date of graduation
NOTE: Both your printed application form and verification document are required for processing. Please allow 3-5 business days to obtain the member rate on exams, conference registrations, or other purchases.

Please note: Membership in the association requires you to belong to a chapter when you live or work within 50 miles/80 km of a chapter territory. The name of the chapter is indicative of its territory. If you live
farther than 50 miles/80 km from a chapter territory, select member at large. Chapter selection is subject to verification by ISACA Global. Cities listed in parentheses are a reference to where the majority of chapter
meetings are held. Please contact your local chapter at www.isaca.org/chapters for other meeting locations.
Chapter Affiliation Member Get A Member Referral Information
n Chapter Number (see reverse)______________ If you have been referred by an ISACA member,
or please enter the ISACA Member ID# that was
n Member at large (no chapter within 50 miles/80 km) provided to you.
Referring Member ID# ______________
If employed, please provide the following:
Company name___________________________________________________________________________________________________________________________________________________
Title___________________________________________________________________________________________________________________________________________________________
Business address ________________________________________________________________________________________________________________________________________________
STREET
______________________________________________________________________________________________________________________________________________________________
CITY STATE/PROVINCE/COUNTRY POSTAL CODE/ZIP
Business phone _________________________________________________________________________________________________________________________________________________
AREA/COUNTRY CODE AND NUMBER
ISACA requires members to provide certain demographic information to help us understand and better serve our constituents, and to ensure that we deliver information that is relevant to you.
Current field of employment (check one) Level of education achieved (indicate degree achieved, or number of Current professional activity (If not n IT Director/Manager/Consultant
n Advertising/Marketing/Media years of university education if degree not obtained) your title, n Compliance/Risk/Privacy Director/
n Aerospace n one year or less n five years n MS/MBA/Masters please select the BEST match) Manager/Consultant
n Education/Student n two years n six years or more n Ph.D n CEO, President, Owner, General/ n IT Senior Auditor (External/Internal)
n Financial/Banking n three years n AS Degree n Not applicable Executive Manager n IT Auditor (External/Internal Staff)
n Government/Military—National/State/Local n four years n BS/BA Degree n Other __________ n CAE, General Auditor, Partner, Audit n Non-IT Auditor (External/Internal)
n Health Care/Medical Head/VP/EVP n Security Staff
n Insurance Work experience n CISO/CSO, Security Executive/VP/EVP n IT Staff
n Legal/Law/Real Estate (check the number of years of information systems n CIO/CTO, Info Systems/Technology n IT/IS Compliance/Risk/Control Staff
n Manufacturing/Engineering related work experience) Executive/VP/EVP n Professor/Teacher
n Mining/Construction/Petroleum/Agriculture n No Experience n 7-9 years n Not applicable n CFO, Controller, Treasurer, Finance n Student
n Not applicable n 1-3 years n 10-12 years Executive/VP/EVP n Other
n Pharmaceutical n 4-6 years n 13 years or more n Chief Compliance/Risk/Privacy
n Public Accounting Officer, VP/EVP Birth Year_______________________
n Retail/Wholesale/Distribution n IT Audit Director/Manager/Consultant
n Technology Services/Consulting n Security Director/Manager/Consultant Gender
n Telecommunications/Communications n Male n Prefer not to answer
n Transportation n Female n Other_______________
n Utilities n Non-binary/Third gender
n Other ___________________

Payment due By applying for membership in ISACA, members agree to hold the association and its chapters, and
• International dues $ 68.00 (US) OneInTech, an ISACA Foundation, and their respective officers, directors, members, trustees,
• Chapter dues (see reverse) $ (US) employees and agents, harmless for all acts or failures to act while carrying out the purposes of the
• New member processing fee $ 0.00 (US)* association and the institute as set forth in their respective bylaws, and they certify that they will
PLEASE PAY THIS TOTAL $ (US) abide by the association’s Code of Professional Ethics (www.isaca.org/ethics). Full payment entitles
new members to membership from the date payment is processed by International Headquarters
* Membership dues consist of international dues, chapter dues, and new member processing fee. through 31 December 2021. No rebate of dues is available upon early resignation of membership.
The processing fee is waived for Recent Graduates. Contributions, dues or gifts to ISACA are not tax deductible as charitable contributions in the United
Membership dues are nonrefundable and nontransferable. States. However, they may be tax deductible as ordinary and necessary business expenses. Your
Mail your application and check to: contact information will be used to fulfill your request to become an ISACA member, and may also
ISACA • 1055 Paysphere Circle • Chicago, IL 60674 • USA be used by ISACA to send you information about related ISACA goods and services, and other
information in which we believe you may be interested. As an ISACA member, we will be sure
Method of payment to keep you up-to-date on the latest products and services that are available to our community. By
n Check payable to “ISACA” in US dollars, drawn on US bank applying for membership, you confirm the information provided on this form is complete and
n MasterCard n VISA n American Express n Diners Club n Discover accurate, and you authorize ISACA to contact you at the address and numbers you have provided,
All payments by credit card will be processed in US dollars
including to provide you with marketing and promotional communications. You further represent
that the information you provided is yours and is accurate. To learn more about how we use the
Credit Card # ____________________________________________ information you have provided on this form, please read our Privacy Policy, available at www.isaca.
org. Should you elect to attend one of our events or purchase other ISACA programs or services,
Print name of cardholder __________________________________
information you submit may also be used as described to you at that time.
Expiration date ___________________________________________
MONTH/YEAR
The dues amounts on this application are valid 1 August 2020 through 31 May 2021.
Signature_________________________________________________
 US dollar amounts listed below are for local chapter dues. While correct at the
time of printing, chapter dues are subject to change without notice. Please include
the appropriate chapter dues amount with your remittance.
Chapter Chapter
Name Number Dues
ASIA
Bahrain 208 $12
Dhaka, Bangladesh 207 $20
China Hong Kong 64 $30
Ahmedabad, India 247 $10
Bangalore, India 138 $10
Cochin, India 176 $0
Coimbatore, India 155 $10
Hyderabad, India 164 $10
Kolkata, India 165 $8
Chennai, India 99 $5
Mumbai, India 145 $20
New Delhi, India 140 $8
Pune, India 159 $15
Trivandrum, India 242 $10
Vijayawada, India 200 $10
Baghdad, Iraq 244 $25
Indonesia 123 $23
Fukuoka, Japan 219 $35
Nagoya, Japan 118 $60
Osaka, Japan 103 $0
Tokyo, Japan 89 $0
Amman, Jordan 246 $35
Nur-Sultan, Kazakhstan 240 $0
Korea 107 $25
Lebanon 181 $0
Macao 190 $10
Malaysia 93 $0
Muscat, Oman 168 $10
Islamabad, Pakistan 224 $0
Karachi, Pakistan 148 $25
Lahore, Pakistan 196 $15
Manila, Philippines 136 $0
Jeddah, Saudi Arabia 163 $0
Riyadh, Saudi Arabia 154 $0
Singapore 70 $20
Sri Lanka 141 $0
Taiwan 142 $25
Bangkok, Thailand 109 $0
UAE 150 $10
LATIN AMERICA
Buenos Aires, Argentina 124 $0
LaPaz, Bolivia 173 $15
Belo Horizonte, Brazil 245 $0
Brasília, Brazil 202 $0
Rio de Janeiro, Brazil 203 $20
São Paulo, Brazil 166 $25
Santiago, Chile 135 $0
Bogotá, Colombia 126 $15
Medellín, Colombia 229 $15
Costa Rica 31 $20
Santo Domingo,
Dominican Republic 226 $15
Quito, Ecuador 179 $15
San Salvador, El Salvador 232 $0
Guatemala City, Guatemala 215 $13
Guadalajara, México 201 $25
Mexico City, México 14 $25
Monterrey, México 80 $0
Panamá 94 $10
Asunción, Paraguay 184 $20
Lima, Perú 146 $20
Puerto Rico 86 $45
Montevideo, Uruguay 133 $50
Venezuela 113 $0
EUROPE/AFRICA
Austria 157 $45
Belgium 143 $0
Gaborone, Botswana 228 $25
Sofia, Bulgaria 189 $0
Croatia 170 $15
Cyprus 210 $15
Czech Republic 153 $0
Chapter Chapter
Name Number Dues
Denmark 96 $10
Cairo, Egypt 230 $0
Estonia 162 $13
Finland 115 $15
France (Paris) 75 $70
Germany 104 $25
Accra, Ghana 205 $10
Athens, Greece 134 $30
Budapest, Hungary 125 $0
Ireland 156 $15
Israel 40 $0
Milan, Italy 43 $27
Rome, Italy 178 $20
Venice, Italy 216 $15
Kenya 158 $15
Latvia 139 $20
Lithuania 180 $20
Luxembourg 198 $30
Malta 186 $10
Mauritius 211 $30
Casablanca, Morocco 239 $20
Windhoek, Namibia 238 $25
Netherlands 97 $25
Abuja, Nigeria 185 $10
Ibadan, Nigeria 222 $25
Lagos, Nigeria 149 $0
Port Harcourt, Nigeria 234 $10
Norway 74 $28
Katowice, Poland 220 $30
Warsaw, Poland 218 $25
Lisbon, Portugal 209 $20
Romania 172 $0
Moscow, Russia 167 $0
Rwanda 248 $20
Belgrade, Serbia 236 $0
Slovenia 137 $0
Slovakia 160 $0
South Africa 130 $10
Barcelona, Spain 171 $25
Madrid, Spain 183 $35
Valencia, Spain 182 $0
Sweden 88 $0
Switzerland 116 $0
Tanzania 174 $50
Tunis, Tunisia 225 $30
Ankara, Turkey 217 $10
Istanbul, Turkey 204 $20
Kampala, Uganda 199 $25
Kyiv, Ukraine 206 $0
London, UK 60 $0
Central UK 132 $5
Northern England, UK 111 $0
Scotland, UK 175 $0
Winchester, UK 212 $15
Lusaka, Zambia 223 $25
Harare, Zimbabwe 241 $15
NORTH AMERICA
Canada
Calgary, AB 121 $0
Edmonton, AB 131 $25
Vancouver, BC 25 $0
Victoria, BC 100 $0
Winnipeg, MB 72 $0
Atlantic Provinces 105 $10
Ottawa Valley, ON 32 $0
Toronto, ON 21 $0
Montreal, PQ 36 $10
Quebec City, PQ 91 $0
Regina, SK 231 $13
Islands
Bermuda 147 $23
Curacao 227 $0
Kingston, Jamaica 233 $15
Trinidad & Tobago 106 $35
For current chapter dues, or if the amount is not listed below, please visit
the web site, www.isaca.org/chapdues, or contact your local chapter at
www.isaca.org/chapters.
Chapter Chapter
Name Number Dues
Midwestern United States
Central Indiana 56 $0
(Indianapolis)
Chicago, IL 02 $25
Illini (Springfield, IL) 77 $0
Illowa 169 $25
Iowa (Des Moines) 110 $25
Kentuckiana (Louisville, KY) 37 $20
Detroit, MI 08 $20
Western Michigan 38 $15
Minnesota 07 $18
Omaha, NE 23 $20
Fargo, ND 249 $15
Central Ohio (Columbus) 27 $0
Greater Cincinnati, OH 03 $20
Northeast Ohio (Cleveland) 26 $0
Northwest Ohio 188 $30
Milwaukee, WI 57 $25
Madison, WI 243 $15
Northeastern United States
Greater Hartford, CT 28 $0
Central Maryland 24 $0
(Baltimore)
New England 18 $0
New Jersey 30 $0
Central New York 29 $0
(Syracuse)
Hudson Valley, NY 120 $0
(Albany)
New York Metropolitan 10 $0
Western New York 46 $0
(Buffalo/Rochester)
Harrisburg, PA 45 $0
Philadelphia, PA 06 $15
Pittsburgh, PA 13 $0
Rhode Island 197 $0
Greater Washington, D.C. 05 $0
Southeastern United States
Birmingham, AL 65 $0
Huntsville, AL 221 $15
Central Florida (Orlando) 67 $0
Jacksonville, FL 58 $15
South Florida 33 $20
Tallahassee, FL 213 $13
West Florida (Tampa) 41 $0
Atlanta, GA 39 $25
Charlotte, NC 51 $20
Research Triangle 59 $0
(Raleigh, NC)
South Carolina Midlands 54 $15
(Columbia, SC)
Memphis, TN 48 $20
Middle Tennessee 102 $25
(Nashville)
Virginia 22 $18
Southwestern United States
Central Arkansas 82 $35
(Little Rock)
Fayetteville, Arkansas 235 $25
Denver, CO 16 $0
Baton Rouge, LA 85 $0
Greater New Orleans, LA 61 $10
Greater Kansas City, MO 87 $0
Springfield, MO 214 $15
St. Louis, MO 11 $0
New Mexico (Albuquerque) 83 $25
Central Oklahoma (OK City) 49 $0
Tulsa, OK 34 $20
Austin, TX 20 $0
Greater Houston Area, TX 09 $0
North Texas (Dallas) 12 $45
San Antonio/So. Texas 81 $20
Chapter Chapter
Name Number Dues
Western United States
Anchorage, AK 177 $0
Phoenix, AZ 53 $0
Tucson, AZ 237 $0
Los Angeles, CA 01 $0
Orange County, CA 79 $0
(Anaheim)
Sacramento, CA 76 $35
San Francisco, CA 15 $0
San Diego, CA 19 $0
Silicon Valley, CA 62 $20
(Sunnyvale)
Hawaii (Honolulu) 71 $20
Boise, ID 42 $0
Las Vegas, NV 187 $5
Portland, OR 50 $0
Utah (Salt Lake City) 04 $0
Mt. Rainier, WA (Olympia) 129 $10
Puget Sound, WA (Seattle) 35 $18
OCEANIA
Adelaide, Australia 68 $0
Brisbane, Australia 44 $10
Canberra, Australia 92 $0
Melbourne, Australia 47 $0
Perth, Australia 63 $0
Sydney, Australia 17 $0
Auckland, New Zealand 84 $0
Wellington, New Zealand 73 $11
Papua New Guinea 152 $15
To receive your copy of the
ISACA Journal, please complete the
following subscriber information:
Size of ENTIRE organization
n Fewer than 50 employees
n 50 - 149 employees
n 150 - 499 employees
n 500 - 1,499 employees
n 1,500 - 4,999 employees
n 5,000 - 9,999 employees
n 10,000 - 14,999 employees
n 15,000 or more employees
n Not applicable
Size of IT audit staff (local office)
n 0 individuals
n 1 individual
n 2-5 individuals
n 6-10 individuals
n 11-25 individuals
n More than 25 individuals
n Not applicable
Size of information security staff
(local office)
n 0 individuals
n 1 individual
n 2-5 individuals
n 6-10 individuals
n 11-25 individuals
n More than 25 individuals
n Not applicable
Your level of purchasing authority
n Recommend Products/Services
n Approve Purchases
n Recommend and Approve
n Not applicable