The Greater New York Dietetic Association
P.O. Box 30953
New York, NY 10011
www.gnyda.org
Membership Application
For information about the benefits of membership in the Greater New York Dietetic Association, and to
join a Committee or Special Interest Group, please read both sides of this application.
Name:______________________________________
Home Phone:_________________________________
Address:____________________________________
Work Phone:_________________________________
City:__________________ State:______ Zip:_______ E-mail:______________________________________
Your email address is required. GNYDA uses email to communicate
news, activities and event information. Please feel confident that
GNYDA does not share email information with any third party.
Borough/County:______________________________
Please check all that apply:
RD___
DTR___
AND Membership #: ___________________
CDN____
*YOU MUST INCLUDE YOUR AND MEMBERSHIP NUMBER
TO BECOME A MEMBER OF GNYDA.
Please indicate the appropriate Membership Category:
Active (current active member of AND*)
Annual Dues $45.00
__________
Retired (current retired member of AND*)
Annual Dues $30.00
__________
Student/Returning Student (current student member of AND)
Please enclose a copy of your student ID card
Annual Dues $30.00
__________
For RD’s only:
Listing in the Consultants & Counselors Directory
Listing in the Speakers Directory
Please go to the GNYDA website (www.gnyda.org) to complete application form(s).
There is no charge for the listing. All applications are subject to approval at the sole discretion of GNYDA.
SPECIAL FUND CONTRIBUTIONS:
ADAF Scholarship
$__________
NYSDA Political Action Committee
$__________
TOTAL
$__________
Your annual AND dues payment automatically enrolls you as a member of the New York State Dietetic Association, (NYSDA) BUT
NOT the Greater New York Dietetic Association. To become or remain a member of GNYDA, the district association of New York
City, you must be a current member of AND, complete this form, and submit your dues payment. To find out about AND
membership, call 800-877-1600, or go to http://www.eatright.org.
Please make your check for the total fee and contributions payable to GNYDA, and mail along with this form to:
The Greater New York Dietetic Association
P.O. Box 30953
New York, NY 10011
Your cancelled check confirms your membership.
Membership dues may also be paid online at www.gnyda.org.
Please turn over and complete the other side of this application.
Rev. 06/14
The Greater New York Dietetic Association welcomes your input and strongly
encourages you to participate in the Association’s Committees and Special Interest
Groups.
Please check any Committee(s) and/or Special Interest Group(s) in which you would like to
participate. The Chair of the Committee or Special Interest Group will contact you.
COMMITTEES
SPECIAL INTEREST GROUPS
Legislation/Public Policy
Cultural Food
Newsletter
Nutritionists in AIDS Care
Public Relations
Hunger and Environmental Nutrition
Student
_____ Pediatric Nutrition
BENEFITS OF MEMBERSHIP IN THE GREATER NEW YORK DIETETIC ASSOCIATION
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Greater New Yorker newsletter is available online on the GNYDA website
Continuing education opportunities – free or at discounted rates
Networking opportunities with influential and pro-active nutrition
professionals and students
Access to information about meetings and other events is available online on
the GNYDA website
For RDs, free listing in the Speakers and Consultants Directories (all listings
are subject to approval by GNYDA and at the sole discretion of GNYDA)
Information about public policy and reimbursement issues affecting the
profession
Opportunities to improve your professional skills by participating in GNYDA
Special Interest Groups
Opportunities to develop your leadership skills by participating in GNYDA
Committees
Develop, with support from the GNYDA Board of Directors, a Special Interest
Group that targets your professional interests
JOIN THE GREATER NEW YORK DIETETIC ASSOCIATION AND BECOME A FORCE
FOR PROGRESS IN THE PROFESSION