DCSS welcomes academics, researchers, policy-makers, analysts,
public sociologists and students interested in the collegial and
democratic exchange of ideas.

DCSS Membership Application 2009/10

 

NAME  (Please Print:)

 ________________________________________________________________

                    LAST                            FIRST                         MI

  
Amount enclosed for the academic year 2009/10:

Regular Member     $25;               Retired               $20
Graduate Student   $10                Undergraduates    $5  

Renewal           Y    N                   New Member     Y    N

Personal or Department Contribution: $ ________ 
 
Total Amount: $ _______  DCSS  fiscal year runs from July 1 through June 30

 
Preferred mailing address: (Check____ if new address).

 
________________________________________________________________
Position/Title                                                   Agency/Company/Institution

 
________________________________________________________________
Street              Room                                      City                  State                Zip      

  

Phone: __(_______)________________________   

Email:_______________________________________________________________

                                                                       

I wish to be on the DCSS Listserv.     Check one:     Yes               No  

If want to receive the DCSS newsletters electronically.  Check  here______   

 

What topics or speakers would you would like to hear at future meetings?

 ________________________________________________________________

 ________________________________________________________________

 
Would you be willing to serve on the awards committee?     Yes             No

 
Please mail this form and your check (payable to “DCSS”) to:

Howard Iams, 5516 Oakmont Ave, Bethesda, MD 20817.