Emeritus Membership Price: 50 Salutation: Salutation is not valid ------------Dr.Mr.Mrs.Ms. First Name:* First Name is Required Middle Name: Middle Name is not valid Last Name:* Last Name is Required Name of Institution: Name of Institution is not valid Mailing Address:* Mailing Address is Required Mailing Address 2: Mailing Address 2 is not valid Country:* Country is Required City:* City is Required State:* State is Required Zip Code:* Zip Code is Required Mobile Phone: Mobile Phone is not valid Job Title or Student:* Job Title or Student is Required Year You Joined 黄色电影:* Year You Joined 黄色电影 is Required ------------202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195020232024 How did you find out about the academy?:* How did you find out about the academy? is Required ------------Web sitePublicationColleagueNewspaper ArticleOther What is your ethnic background? Select all that apply.:* What is your ethnic background? Select all that apply. is Required American Indian Asian Black/African American Hispanic or Latinos Pacific Islander White/Caucasian Other Prefer not to answer How do you describe your gender identity? Select all that apply.:* How do you describe your gender identity? Select all that apply. is Required Male Female Non-binary Transgender Other Prefer not to answer What is your age?:* What is your age? is Required ------------17 years old or younger18-30 years old30-45 years old45-60 years old60-75 years old75 years old or olderPrefer not to answer Highest Degree Earned: Highest Degree Earned is not valid Year Earned: Year Earned is not valid ------------2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197020232024 Affiliation/Employer:* Affiliation/Employer is Required Profession:* Profession is Required ------------College / University FacultyHigh School FacultyElementary School FacultyIndustrial ScientistPhysicianStudentGovernment EmployeeEmeritusOther (Enter in box below)Retired Other Profession: Other Profession is not valid Section Interest #1:* Section Interest #1 is Required ------------AnthropologyBotanyCell BiologyChemistryConservation, Sustainability and Land ManagementEarth ScienceEcologyEngineeringEnvironmental ScienceHistory of ScienceMathematicsMicrobiology & Molecular BiologyPhysics & AstronomyPlant Systematics & BiodiversityPsychologyScience EducationZoology & Entomology Section Interest #2: Section Interest #2 is not valid ------------AnthropologyBotanyCell BiologyChemistryConservation, Sustainability and Land ManagementEarth ScienceEcologyEngineeringEnvironmental ScienceHistory of ScienceMathematicsMicrobiology & Molecular BiologyPhysics & AstronomyPlant Systematics & BiodiversityPsychologyScience EducationZoology & Entomology Section Interest #3: Section Interest #3 is not valid ------------AnthropologyBotanyCell BiologyChemistryConservation, Sustainability and Land ManagementEarth ScienceEcologyEngineeringEnvironmental ScienceHistory of ScienceMathematicsMicrobiology & Molecular BiologyPhysics & AstronomyPlant Systematics & BiodiversityPsychologyScience EducationZoology & Entomology Would you like your membership to automatically renew annually?: Would you like your membership to automatically renew annually? is not valid Yes No Would you like to include a one-time donation to the 黄色电影?: Would you like to include a one-time donation to the 黄色电影? is not valid Yes No Are you interested in being featured as a science expert online? Username:* Invalid Username Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Have a coupon? Coupon Code: Invalid Coupon Coupon applied successfully No val Please fix the errors above
