Application for Affiliated Scholars Program

To apply for the Affiliated Scholars Program:
1) Complete this form
2) E-mail your CV to Sarah Epting,

* 1. Please enter your first name.

* 2. Please enter your last name.

* 3. What is the job title for your current position?

* 4. Please provide the street address where you currently work.

* 5. Please provide your e-mail address.

* 6. List (or highlight on CV) publications, grants, projects related to nutrition.

* 7. List courses taught relevant to nutrition.

* 8. List interests and community and/or work activities related to nutrition.

* 9. Would you be willing to be a presenter for a seminar?

* 10. If you responded yes, what is a possible presentation topic(s)?