Join NowMembership ApplicationIf you are human, leave this field blank.Membership Application for July 1, 2022 - June 30, 2023Membership Levels:Active: $50Student: $30Retired: $30Type of membership application: *New MemberReturning MemberAre you a registered dietitian or a student? *RD/RDN/LD/DTRStudentIf you are a student, what university do you attend?Texas State UniversityUniversity of TexasName *CredentialsRD, LD, BS, MA, MS, MPH, PhD, FADA, EdD, CNSD, CDEAddress *CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African 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ManagementHunger/Environmental NutritionIntegrative/Functional NutritionLong/Term CareGerontologyOncologyPediatricPolicy & AdvocacyNutrition SupportResearchSchool NutritionSports NutrtionVegetarian NutritionWeight ManagementWellness/PreventionOtherDemographics: Do you identify as Multiracial or more than one Race/Ethnicity?YesNoDemographics: Race/Ethnicity (check all that apply)American Indian/Alaskan NativeNative Hawaiian or Other Pacific IslanderHispanic/Latinx Black or African-AmericanWhiteMiddle Eastern East Asian (including Chinese, Japanese, Korean, and Mongolian)South Asian (including Bangladeshi, Bhutanese, Indian, Nepali, Pakistani, and Sri Lankan)Southeast Asian (including Burmese, Cambodian, Filipino, Hmong, Indonesian, Laotian, Malaysian, Mien, Singaporean, Thai, and Vietnamese)My Race/Ethnicity is not listedNot disclosedWould you like to volunteer with Dietitians of Central Texas?YesNoWhat part of Austin/Central Texas is best for you when meeting in person?South AustinNorth AustinCentral AustinEast AustinWest AustinRound RockCedar ParkPflugervilleBudaDel ValleManorWest LakeAs we transition to in-person meetings, would you recommend any places in Austin or surrounding areas that can host 50+ people for our members meetings? (Please leave any other comments related to preferred meeting locations here.)Instagram HandleSubmit Registration FormAfter submitting this form, you will be redirected to the membership payment page. *Please note that your membership will NOT be active until you select your membership level on the following page and complete your payment.* Terms and Conditions *I agree to the Terms and ConditionsSubmit
