New user

Salutation (Required)

Pronouns (Optional)

Pronouns (Other) (Optional)

First Name (Required)

Last Name (Required)

Photo (Optional)

Badge Name (Optional)

Email (Required)

Password (Required)

Password must be at least 8 characters, with a mix of numbers and letters, and at least one symbol

Confirm password

Please confirm

Direct Phone (Optional)

Please include your extension if you have one

General Phone (Required)

YesNo

I am a company employee or part of an organization

Firm • Company / Cabinet • Entreprise (Required)

YesNo

I could not find my company or organization (details will be collected on the next step)

YesNo

Show my address in directory listings Select Yes to display your address in directory listings. Select No to hide your address.

YesNo

Use Organization Address for Directories Select Yes to show your organization’s address. Select No to show your profile address instead.

YesNo

Use Organization Address for Billing Select Yes to use your organization’s address on invoices and receipts. Select No to use your profile address instead.

Street Address (Civic Address) (Required)

City (Required)

Province • State • Territory (Optional)

If within Canada / United States, please select

Country (Required)

Postal Code (Required)

Profile URL (Optional)

Members: This URL will be accessible in your membership card located in the IPIC member directory

Member Profile (Optional)

Demographic Data - Language Proficiency (Optional)

Select all that apply.

Demographic Data - Do you identify as a member of any of the following groups? (Optional)

Select all that apply.

Other identity (please identify the group) (Optional)

YesNo

I give my consent to IPIC to use my demographic information, as outlined in the IPIC Membership Privacy Statement.

YesNo

Would you like to be contacted or informed of development or leadership opportunities pertaining to your specified identity?

YesNo

Enable 2FA (two factor authentication) via e-mail for my profile Additional security to prevent unauthorized access to profile data.

Update My Profile

Communication Preferences