RegisterHome 
2010 Membership Application
(Page 1 of 2)
Please complete the following information as it should appear in the SRS Directory

*Required Fields


Application Statement

Please verify the following statement by marking the appropriate response box:

I actively conduct or have conducted scientific research in the field of sleep, and I am an author of at least one article that has been published in a peer-review journal.

       


Membership Categories

Membership is on a calendar-year basis (January 1 - December 31). All membership categories receive online access to the journal SLEEP. All membership categories (domestic members within the United States, Canada, Mexico and Puerto Rico) recieve print copies of the journal SLEEP unless otherwise stated.

FULL MEMBERS
Individuals possess doctoral degrees and have either published sleep-related research or have documentation of research. Includes print and online versions of SLEEP and the online version of the SRS Bulletin. 		$180.00
     
ASSOCIATE MEMBERS
Individuals with special training who are actively engaged in sleep research, usually in a laboratory. Includes print and online versions of SLEEP and the online version of the SRS Bulletin. 		$90.00
     
POSTDOCTORAL FELLOW
Individuals have received their terminal degree and are in a residency or fellowship program. Includes print and online versions of SLEEP and the online version of the SRS Bulletin (Membership in this category is limited to 5 years*). 		$90.00
     

PREDOCTORAL STUDENT
Individuals pursuing undergraduate, masters, and doctoral degrees. This category includes individuals who earned their undergraduate degree within the last two years and work in a sleep research laboratory prior to pursuing advanced degrees. Includes the online versions of SLEEP and the SRS Bulletin (Membership in this category is limited to 7 years*).

$45.00
     
*Membership in these categories is limited to the terms above unless written verification is provided that the member qualifies for additional years as either a Predoctoral Student Member or Postdoctoral Fellow Member.


Personal Information

Prefix: First Name: MI: Last Name: Suffix: Prof. Degree(s):
   

Date Of Birth: (mm/dd/yyyy)     


Select Contact Address

Please send mail to this address:

Professional Address

Institution:

Academic Title:
Street:
Suite, etc:
City:
State:
Postal Code:
Country:
Phone: (xxx) xxx-xxxx Ext:
Fax: (xxx) xxx-xxxx
Email:
Personal Address

Street:
PO Box, Apt:
City:
State:
Postal Code:
Country:
Phone: (xxx) xxx-xxxx
Email:

* E-mail addresses will be used to provide members with information about the SRS and industry news and events. The SRS does NOT rent e-mail addresses to third-party organizations.

Primary Area of Interest



SRS Sections

The Sleep Research Society is comprised of sections that identify four areas of sleep research. Please indicate your preference for membership in one of the following sections:



Membership Directory

Members who join after February 28, 2010, will not receive or be included in the 2010-2011 Membership Directory. Future directories will be mailed in June of each year.

Send me a printed copy of future membership directories.


Source Code (optional)

If you are applying for membership online after receiving a printed membership application in the mail, please enter the Source Code from this mailing here. The Source Code can be found either on the top right portion of the membership application or above your address on the mailing label.



Where did you hear about SRS Membership?

Make A Donation   (suggested contribution - $50.00)

Sleep Research Society Foundation (SRSF) supports and awards two sleep research grants: the J. Christian Gillin, MD Research Grant and the Elliott D. Weitzman, MD Research Grant.
$ .00

Please review the information you have provided before moving on to the next page.
Copyright © 2009 Sleep Research Society
One Westbrook Corporate Center, Suite 920
Westchester, IL 60154
 Phone: (708) 492-1093
Coordinator: ncekosh@srsnet.org
Webmaster: webmaster@srsnet.org