Trinity Section, American Nuclear Society � Contact Information Form

Contact Information Form

All ANS National members are now automatically members of the applicable local Section. You may be a "Friend of Trinity Section" if you are not an ANS National member. However, only ANS National members may serve in the offices of Section Chair or Section Vice-Chair.

All ANS National members and "Friends of Trinity Section" may make a voluntarily donation to the Section through our Local Affiliation page to help support our local programs. All donations to ANS Trinity, a registered IRS 501(c)(3) organization, are deductible for income tax purposes. An appropriate tax receipt will be provided to donors.

Mandatory fields (*) are Name, National Member (yes/no) and either a work or home email address, so that we may contact you electronically. At least one method of contacting you by postal mail would also be appreciated. Any other information you provide will help us understand our membership better and tailor our programs.

Effective date:
Salutation:	Dr Mr Ms Mrs Miss
* Name:
Home address:
Home City/State/ZIP:
Home Phone:
Home Fax:
Home E-mail:
Work affiliation:
Work address:
Work mail stop:
Work City/State/ZIP:
Work Phone:
Work Fax:
Work E-mail:
Prefer mail sent to:	Home Work (home encouraged because of mail room problems)
* Current ANS National member:	Yes No
If so, Member number:
Professional interest areas:
ANS Professional Divisions (if applicable, check all that apply):	Accelerator Applications Aerospace Nuclear Science & Technology Biology & Medicine Decommissioning & Environmental Sciences Education, Training & Workforce Development Fuel Cycle & Waste Management Fusion Energy Human Factors, Instrumentation & Controls Isotopes & Radiation Materials Science & Technology Mathematics & Computation Nuclear Criticality Safety Nuclear Installations Safety Operations & Power Radiation Protection & Shielding Reactor Physics Robotics & Remote Systems Thermal Hydraulics Nuclear Nonproliferation (TG) Young Members Group (TG) Computational Medical Physics (WG) Nuclear Production of Hydrogen (WG)
Current National Committees:
Interest in Trinity Section activities:	Become an Officer or Executive Committee member Public information and outreach committee Communications committee Membership committee Emeritus committee One-shot assignments (audit committee, election inspection, nominating committee, etc.)
My highest-interest Section project(s):
(New members) recruited by:
Any additional comments, questions or suggestions:

When complete:

[PageTop]