Society of Soil Scientists of Southern New England

Membership Application Form

Click for Membership Information

INSTRUCTIONS: Print out the form, fill out information and mail with membership fee payable to SSSSNE.

DATE:_____________________

NAME:______________________________________

EMAIL ADDRESS:___________________________________________________________________________________

TELEPHONE (Home):__________________________(Office):_____________________________________________

ADDRESS (Home):_________________________________________________________________________________

__________________________________________________________________________________________________

ADDRESS (Office):________________________________________________________________________________

__________________________________________________________________________________________________

1.Class of membership: ____PROFESSIONAL ($40.00) _____BASIC ($40.00) (effective January 2007)

  • ______ASSOCIATE ($20.00) (See qualifications).

    • 2. List college/University, major course of study, degree(s), and date:

    _________________________________________________________________________________________________

    _________________________________________________________________________________________________

    _________________________________________________________________________________________________

    3. If application is for Basic Member, provide official transcript(s) of college courses (experience information optional but preferred).

    4. If application is for Professional Member, provide:

  • a) official transcript(s) of college courses,

    b) detailed information concerning types and amount of soil science experience, and c) letters from two qualified soil scientists attesting to your qualifications and work experience.

    •

    5. Society Member references (optional) _________________________________________________

    6. Signature of Applicant: ____________________________________________________________

    PLEASE SEND application, supporting materials, and non-refundable membership fee (check payable to SSSSNE) to:

    President, SSSSNE, P.O. Box 258, Storrs, CT 06268