* If you are purchasing and Organizational Tier 1 or Tier 2 Membership, please note the contact person listed on the application will count as one of your membership slots. Please complete this form with information for your organizations membership lead. Once the application is received the person listed below will receive a unique coupon code to distribute to the rest of their purchased membership slots. This code will allow up to 9 or 19, depending on the purchased tier, more members to register at no charge. Each individual member must complete the application as a “individual member” and enter the coupon code to receive the discount.

* If you need to add additional members beyond 10 or 20 to your organizational membership, please contact KYACHW@outlook.com after purchase to receive a discount coupon for additional members.

* If you do not receive an invoice, coupon codes, and/or a thank you email within one hour of purchase, please check any spam/junk quarantine folders, as we have experienced emails being automatically routed to those inboxes in the past. If you still cannot locate please contact Shirley Prater, KYACHW Treasurer at sdpr223@uky.edu for a copy.  

KYACHW memberships are from January – December and are different than your certification renewal. Membership numbers will begin with the current year and updated as payments are processed. Click on the membership page to learn more.