Application for Membership in the American Academy of Health Behavior
Note:  Applications Must Be Received By July 1 and January 1
 
         
Part I.
Which membership category are you applying for? 
See qualification requirements
 
Doctoral Degree    Hold Control Button to Highlight More Than One
Masters Degree Hold Control Button to Highlight More Than One
Last Name      
First Name  

   Middle Initial

  
Email  
Organization  
Department  
Street Address  
City  
State  
Zip  
Country  
FAX  
Phone  
Position/Title  
 
     
Application Status: Initial Application Renewal (if renewal, go to Part II)  
Highest advanced degree    
How many data-based (quantitative or qualitative) peer-reviewed publications have you published (do not count pending):
If one only possesses a bachelors degree, describe what 'advanced' training you have had:
Three Interest Areas of Research:

Work Affiliation:
Corporation/Business
Government Agency  
Hospital Clinic  
Medical School  
University/College  
Other: 
 
 

Work Activity Time
Administration  
Clinical  
Research  
Supervision/Training  
Teaching  
Other

100%

  
           

Part II

Do not pay dues (either through check or credit) until you've been informed of your admittance.  
U.S. Dues International Dues:  
One Year ($160) One Year ($192)  
Three Years ($450) Three Years ($462)
Five Years ($675) Five Years ($667)
Mexico or Canada Resident (add $22.00)        
Upon Admittance Payment Will Be Made By:
Personal Check
Institutional Check
Mastercard/Visa If approved for membership and if paying by credit card, call AAHB at 301-405-0056  after admittance to provide your account number.
 

 

Make checks payable in U.S. dollars to the American Academy of Health Behavior and mail to:
The American Academy of Health Behavior
Suite 2387 HHP Building
Department of Public and Community Health
University of Maryland
College Park, MD 20742-2611
(301) 405-0056
Dues will be returned to anyone who does not qualify as a member.
After completing, click submit button.  You should go to a confirmation page.  Within 48 hours you'll get an email acknowledging receipt.

After clicking, make sure you send a copy of your vitae to Robert McDermott