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Membership Form

Please complete the following information:

Family Name: First Name:

E-mail address: (Full e-mail address required)

Phone (work):

Phone (other):

Fax Number:

Institutional Affiliation:

Address: (please indicate country, if other than U.S.):

Frequency of e-mail use:


Please indicate what information you would not want published in the SCCR Member Directory.

Discipline (Psychology, Anthropology, Sociology, etc.):

What is your sub-discipline (e.g., Social Psychology, Medical Anthropology, Demography)?

What is your primary research area, expertise, or interest (in one sentence)?

Please list up to 3 keywords that are commonly used in your discipline to describe these research interests:

Do you have a geographic area interest or specialty?

Payment Type:

  • OnLine (go to "Pay Dues Online")
  • By Mail (make check payable to "SCCR" and mail to SCCR Treasurer)

Be certain to click on "Submit" before you exit this form.