THE NEBRASKA ACADEMY OF SCIENCES, INC.

MEMBERSHIP APPLICATION

Name (Dr./Prof./Ms./Miss/Mrs./Mr.)

______________________________________________________________________________

Home address:__________________________________________________________________

(No. and Street)(City, State)(Zip Code)

Home Phone: (     )_________________

Work Phone: (     )_________________

Work Address:__________________________________________________________________

e-mail Address:______________________________________________

Fields of Scientific Research or Interest:______________________________________________

___________________________________________________

Want Publications? Please circle Yes or No

Newsletter? Y/N

Proceedings (abstracts of Annual Mtg. papers)? Y/N

Transactions (journal of original scientific research)? Y/N


*Class of membership desired (check one)

Annual Dues

_____Regular $35

_____Collegiate (Full-time student) $10

_____Life (One-time payment or 5 @ $100) $500

_____Sustaining $30 - 50

_____Contributing $51 - 100

_____Patron $101 - 200

_____Sponsor $201 - 1000

_____Benefactor Over $1000

_____Silver Institutional Corporate $200

_____Gold Institutional/Corporate $500

_____Platinum Institutional/Corporate $1000

_____I wish to make a contribution of $_________

(All contributions to the Academy are tax-deductible.)

*Make check payable to, The Nebraska Academy of Sciences, Inc.

Please send application and check to:

The Nebraska Academy of Sciences, Inc.

302 Morrill Hall, P.O. Box 880339

Lincoln, NE 68588-0339
 
 
 
 
 
 
 
 
 
 
 
 

MEMBERSHIPS

Any person, institution or organization may be admitted to membership in the Academy by completing an application form and paying appropriate dues.

Regular Members are engaged in science as researchers or teachers or are interested in the promotion of science and science education.

 Collegiate Members are graduate and undergraduate students from universities and colleges who belong to the Collegiate Academy.

Life Memberships are available to individuals who pay a fee of $500 (in one or five installments). Life Members retain their memberships and are exempt from annual dues.

Emeritus Memberships are available to Regular Members who are sixty-five years or older, and who have been in good standing for twenty or more years, not necessarily consecutive. They also shall be exempt from annual dues.

                     Sustaining Members pay memberships of $25 to $50.

                    Contributing Members pay memberships of $51 to $100.

                    Patron Members pay memberships of $101 to $200.

                    Sponsor Members pay memberships of $201 to $1,000.

                    Benefactor Members pay memberships greater than $1,000.