Nomination Acceptance Form

Please select your membership grade: *

Yes, I accept the nomination to Full Membership in Sigma Xi.

Yes, I accept the nomination to Associate Membership in Sigma Xi.

Please select your membership grade: *

Yes, I accept the nomination to Full Membership in Sigma Xi.

Yes, I accept the nomination to Associate Membership in Sigma Xi.

Are you currently a degree seeking student? *

Yes

No

Prefix: *

First Name: *

M.I.

Last Name: *

Suffix:

Preferred Phone #: *

Preferred Email: *

Alternate Email:

Date of Birth (mm/dd/yyyy): *

Mailing Address
(This is where your membership certificate will be mailed.)

Country: *

Address Line 1: *

Address Line 2:

Address Line 3:

City: *

State:

State: *

Province: *

Postal/Zip Code: *

American Scientist Magazine Format: *

No Magazine

Print (Included in your membership)

Digital (Included in your membership)

Gender:

Ethnicity:

Primary Field of Study: *

Secondary Field of Study: *

Business or Institution (If retired, enter 'Retired'): *

Institution: *

Position: *

Position- Other: *

Employment Sector: *

Employment Sector- Other: *

Highest Degree: *

Highest Degree- Other: *

Degree Currently Seeking: *

Degree Currently Seeking- Other: *

Chapter Affiliation:
(If none, please select 'Membership At Large') *

Dues & Fees

Select one of the dues options listed below: *

Regular Member - 1 Year (Expires on June 30, 2025)

Transitional/Post Doc - 1 Year (Expires on June 30, 2025)
* Available to non-students for the first 3 years after graduation.

Student - 1 Year (Expires on June 30, 2025)

Select one of the dues options listed below:
(20% discount on regular rates)
*

Regular Member - 1 Year: US $108.00 (Expires on June 30, 2025)

Student - 1 Year: US $40.00 (Expires on June 30, 2025)

Transitional/Post Doc - 1 Year: US $52.00 (Expires on June 30, 2025)
* Available to non-students for the first 3 years after graduation.

Fees: *

Initiation Fee: US $20.00

Automatic Annual Dues Payment Program:

Enroll in Automatic Dues Payment:

For your convenience, Sigma Xi will automatically charge your credit/debit card in May of each year for annual membership dues. This amount will also include your local chapter dues, if your chapter has local dues, as well as an additional $20.00 if you have chosen to receive both print and digital editions of American Scientist magazine. If you wish to make changes to your account at any time please notify Sigma Xi at membership@sigmaxi.org at least 15 days in advance of May 1st. By submitting this form, you are confirming your status as an authorized user of this credit/debit card.

Total Dues & Fees:

$0.00

Nomination Acceptance Form

Mailing Address (This is where your membership certificate will be mailed.)

Dues & Fees

Mailing Address
(This is where your membership certificate will be mailed.)