Membership Application

To apply for SNEB membership, please complete the form below if paying by credit card or download a form if paying by check. If you have any questions please contact the SNEB office at info@sneb.org, 317-328-4627 or 800-235-6690.

First Name

Last Name

Degree/Credentials PhD DPH DSc EdD MA MPH MS BA LDN RD CHES LD RDN MCHES FAND Other

Organization/Business/Employer

Address

Address - cont.

City

State

Zip/Postal Code

Country

Phone

User ID

Password

Membership Categories and Divisions

Membership Categories. First year dues are pro-rated based on the month your application is approved.The SNEB membership year begins February 1.

Choose Your Divisions

You may select up to 2 Free Divisions. Each Additional Division membership is $10 per year.

Communications

Food & Nutrition Extension Education

Healthy Aging Division

Higher Education

International Nutrition Education

Nutrition Education for Children

Nutrition Education with Industry

Public Health Nutrition

Sustainable Food Systems Network

Weight Realities

Total Price:

Education Experience

Accredited Institution - include city, state/province, country

Major, Year of Graduation, Degree

Related Experience in health, food, agriculture, education, communication or nutrition-related positions. (Include years.)

Membership in Related Organizations (Please spell out abbreviations)

Additional Details

I do not want a print copy of JNEB. I'll use web only access.

Subscribe me to SNEEZE, the members only listserv. (Can be added any time during your membership.)

How Did You Hear About SNEB?

Colleague/Professor

Journal of Nutrition Education and Behavior

SNEB event - conference, webinar

Web search

Billing Information

Card Type

Card Owners Name

Card Number

CVV

Expiration Month

Expiration Year

Billing Address

Billing Address 2

Billing City

Billing State

Billing Zip

Billing Country

I understand that as a member I will be receiving information from SNEB by email and mail. I can withdraw this permission at any time by contact the SNEB office at info@sneb.org.