Update Your SSI Profile

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Update Your Profile

Accurate contact information is critical for maintaining some of the Sound Science Initiative's most timely and effective services. For example, at times we focus our email alerts geographically -- on individual states or congressional districts -- and we need this information to segment our lists appropriately. E-mail addresses tend to be ephemeral, changing with jobs or service providers; please keep us informed of any changes to your e-mail or postal mail addresses as well as other changes to the information requested below.

All SSI Members within the US receive the biannual UCS magazine, Catalyst, and our quarterly newsletter, Earthwise. These publications will be sent to which ever address you note to receive correspondence.

NOTE: You only need to add your name and any updated information. All information is private and confidential and will not be distributed beyond UCS without permission of the respondent.

First Name:
Last Name:
e-Mail :
	*Home Address if you do not want to provide your home address, please tell us your congressional district (below).**
Address:
City:
State:	Zip Code:
Country :
Home Phone:
Home Fax:
	Business Address (optional)
Institution:
Department:
Mailing Address:
City:
State:	Zip Code:
Country :
Business Phone:
Business Fax:

Where should we send correspondence? home work
Congressional District or Representative:
Professional Information Work Sector:
Field:
Other field:
Specialization:
Time in Field (years):
Professional Title:
Professional Associations:
Professional awards or honors:
SSI Information I would like to receive e-mail action alerts and updates on the following issues. biodiversity climate change both
Many SSI members are interested in working with others in their area on special projects related to SSI issues. Can we give your name and e-mail address to other SSI members in your area? Yes No
Where did you hear about UCS's Sound Science Initiative?
Personal Information (optional) The following information is not required for SSI participation, but will help us provide better services to you and will give us a better profile of SSI membership. Year Born (approx):
Gender: female male
Ethnicity:
MEDIA EXPERIENCE: please check all the apply I have written letters-to-the-editor I have written op-eds I have been interviewed for radio/TV/newspaper I have participated in editorial board meetings
ADVOCACY EXPERIENCE: please check all the apply I have written to/called my legislator I have met in person with a legislator or legislative staff I have given testimony at a legislative or administrative hearing
PUBLIC SPEAKING EXPERIENCE: please check all the apply I have spoken at a town meeting or other public forum I would be willing to speak at local or regional events on the following topics: Please feel free to pass on my contact information to other SSI scientists who are looking for speakers.