HVDA Online Application

Not a Member?

After you have completed this online application, please send a check for $25 ($10 for students) by May 31st, payable to Hudson Valley Dietetic Association to:

Amy Lombardi Dietetic Intership Program 132 Gullott Drive Rotterdam, NY 12306

Once your application has been processed you will receive an email for web access and your name will be included in the Online Member Directory.

Member (without an online member profile)?

If you are an active member, once your online application has been processed you will receive an email for web access and your name will be included in the Online Member Directory.

Member (with an online member profile)?

Log into the Member's Only section of the website and click Renew Membership. Once your check is received, you will be sent an email confirming your membership renewal.

ADA Registration Number* :
ADA Membership Category :	Active Associate Retired Student
First Name* :
Last Name* :
Credentials (RD,CDE,CDN,MBA,MS,etc.) :
Please note that "RDE" & "RD eligible" are not ADA approved credentials
Email Address* :
Password* :
Retype Password* :
Age :	35 or Under Over 35
	Home:
Address 1* :
Address 2 :
City* :
County* :
State* :
Zip/Postal Code* :
	Work:
Address 1 :
Address 2 :
City :
State :
Zip/Postal Code :
Phone (Day) :
Phone (Evening)* :
Phone (Mobile) :
Areas of Intrest :	Committee Participation Website Maintenance Membership Mailing Fundraising
	The need occasionally arises for the services of a foreign speaking dietitian.
Do you speak another language?	No Yes
If so, which language(s) do you speak?
	* Required

Questions or comments? Contact the Hudson Valley Dietetic Association at info@hvda.net