Member Information Update

2009 MEMBERSHIP RECORD UPDATE

To all current AAHB Members:

We are in need of a complete update of our membership records. We greatly appreciate your taking the time to complete the entire form below. If you have any questions regarding the information you are sending, please send a separate email to aahb.webmaster@gmail.com

Thank you,

Dennis L. Thombs, Ph.D.

AAHB President

We are requesting this information from existing members only. If you are looking to renew your membership, use the Member Renewal Form. If you wish to apply for membership, use the New Member Application Form.

Member Information Update


Title:
First Name*:
Last Name*:
All Advanced Degrees*:
Position/Job Title*:
Department*:
Organization/Institution*:
Address1*:
Address2:
City*:
State/Provence*:
Country*:
ZIP/Postal Code*:
Phone*:
Email*:
Confirm Email*:
Website:

Membership Catagory*:
How many years have you been a member of AAHB*:

List three areas of research interest*:	* * *
Work Affiliation*:
Work Activity*:	Fill in a percentage next to each activity. The total should equal 100%. Administration Clinical Public Health Practice Research/Evaluation Supervision/Training Teaching Other: 0%

May we include you in the online membership listing (name, affiliation, email, and research interests)?*

The American Academy of Health Behavior