GSDA Membership Application

GSDA Membership Application

For the 2025-2026 Membership Year
GSDA Membership Type*

Regular, Professional MembershipGSDA Board Regular, Professional MembershipStudent/Dietetic Intern MembershipGSDA Board Student/Dietetic Intern MembershipRetireeGSDA Board Retiree
- If you are student, please email proof of enrollment (in the form of a screenshot of your schedule, etc) to gsdamembership@gmail.com. Failure to send could result in membership cancellation. Please check the box once you have completed this.

Completed
What is your Academy membership number? This is required if applying for Professional Membership or Student/Dietetic Intern Membership. If applying for Retired Membership please enter zeros in the field below.*
Full Name*

First NameLast Name
Preferred Name (if different from above)

First NameLast Name
Preferred Pronouns*

she/herhe/himthey/themprefer not to answerOther
Zip Code*
Primary E-mail for GSDA Communication*
example@example.com
Work Setting*

ClinicalCommunityIndustryBusiness/Private PracticeResearchEducatorPublic RelationsManagementFood Service OperationsStudentRetireeN/AOther
Are you interested in volunteering with GSDA and want to learn more?*

YesNoMaybe
Are you interested in learning more about our Speakers Bureau program?*

YesNoMaybeMaintain Existing Profile
Would you like your name, credentials, and contact information listed for your business or private practice on the "Find a Nutritionist" page on GSDA's website?*

YesNoMaybeMaintain Existing Profile
If you said yes to the above question, please list the business information below that you want displayed on the "Find a Nutritionist" page. Include your name, credentials, business name, business address (or say "virtual practice"), 1-2 sentences summarizing your business, business phone number, email, and website.
For the Regular/Professional and Student/Dietetic Intern membership levels, when you select submit, you will be directed back to the GSDA website to pay and complete your application. For the Retiree membership level, once you submit your application, you are finished and do not need to pay through PayPal.
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