mngero - about mgs

Membership Form

Is this a Business or Home address? (To be used in the MGS Membership Directory)

Business

Home

Indicate your membership type:

Individual Member ($55)

Student ($25)

Retiree ($35)

Areas of Expertise or Interest:
Please note your areas of expertise or interest to help guide MGS activities. Check all that apply:

Expertise	Interest In
		Aging & Health Care Policy - Federal, State or Local

		Aging & Health Care Practice*

		Aging & Health Care Research*

		*Specific area of interest:

		Sociology, Demographic Trends, Diversity

		Economics of Aging

		Education / Training of Workforce

		Family Caregivers / Caregiver Support

		Legal Issues - Adult Protection, Advocacy, Ombudsman

		Psychology, Mental Health

		Spirituality, Ethics

		Technology / Environmental Adaptations

		Work and Retirement Issues for Older Adults

		International Systems / Programs

		Other:

Discipline

		Case Manager

		Consultant

		Specify:

		Educator / Professor

		Executive Administrator / Senior Manager

		Financial Advisor

		Nurse / Nurse Practitioner

		Ombudsman / Legal Advocate

		Physician / Clinician

		Pharmacist

		Program Manager / Director

		Psychologist / Mental Health Professional

		Rehabilitation Therapist

		Research Scientist / Analyst

		Social Worker

		Statistician / Demographer

		Other:

Setting

		Academic Setting / College, University

		Community-based Organization

		Consulting Organization

		Government

		Specify:

		Health Plan / Insurance Company

		Health System

		Home Care Agency

		Housing / Assisted Living

		Law Office / Advocacy Organization

		Membership Organization

		Non-profit Organization

		Nursing Facility

		Philanthropic Organization

		Retired

		Self-Employed

		Other:

MGS Activities
Check any in which you are interested in participating.

		Spring Conference: help in planning the MGS Annual conference, identify current topics and speakers of interest

		Seminars: join the Education Committee to plan brief programs on research or practice

		Dutch Kastenbaum Award: recognize an outstanding gerontologist in Minnesota

		Membership Committee: join the Membership Committee to work on enhancing membership services and increasing MGS membership

		Gerald Bloedow Scholarship: disseminate information about this opportunity to students