Student Membership form

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Student Membership form
$15

Choose Any *

New application Renewal

* Indicates required field

Name *

First

Last

Address *

City *

Zip code *

Phone Number *

Email *

AND membership number (AND membership is required to be a member of TAND) *

Name of current school and current year/class *

Are you a VAND member? *

Yes No

Name and contact info of your program director *

Please upload a copy of your AND card *

Max file size: 20MB

I am willing to include my personal information in a TAND directory so that fellow members can contact me. (Information will be shared ONLY with fellow TAND/VAND members). *

Yes No

Which CEU topics would you be most interested in attending? *

General MNT Diabetes Renal Cardiac Wound Malnutrition Nutrition Support End of life care Health and wellness Food and security Maternal and infant Pediatric Counseling Consulting Obesity prevention and/or treatment Food service Food safety Research Public policy Entrepreneurship Ethics Cooking/culinary events Other

Please specify *

***Please don't forget to pay your dues online by clicking on the Paypal button

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Home
About us
Events
Newsletter
Join now
Members
Contact
Resources
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Student Membership form$15

Student Membership form
$15