Trinity Section, American Nuclear Society

Section Membership Form

ANS Trinity Section membership runs from 1 Jan to 31 Dec of the calendar year. Dues paid after 1 Nov include the following calendar year. It is not necessary to be a member of ANS National to be a member of ANS Trinity. However, only ANS National members may serve in the offices of Section Chair or Section Vice-Chair. Dues are free for Students and for Emeritus Section Members (60 or over, having at least 10 years of membership, and retired).

Note that National membership rules are changing 1 Jan 2023 as a result of the passage of "ANS Change Plan 2020," as mentioned at the top of our Join page. Impact of those changes on our local Section will be posted during 2022.

Mandatory fields (*) are Name, Dues, 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.

Calendar year:
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)
* Dues:	Member ($15) Emeritus ($0) Student ($0) Pay dues thru web site Join page or submit check to "ANS Trinity" with printed copy of fillable Word form.
* 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:

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