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Affiliation Form


Learn more about the benefits the Work and Family Network can provide.

The generous support of the Alfred P. Sloan Foundation allows us to provide all resources free of charge. Your completion of the join form will assist us with planning and creating resources that are responsive to the needs of our users. After you submit this form, you will receive an e-mail confirming that your affiliation was successful within 1 business day.

Thank you for your interest in the Sloan Network!

This information will not be given or sold to any other organization. Privacy Policy

( *=Required Fields)

Please fill out the following form to join the Network:
*First Name:
*Last Name:
Degree (e.g., Ph.D., MBA, etc):
Job Title:
*E-mail Address:
*E-mail Address confirm:
Please provide your contact information below:
Address line 1:
Address line 2:
Address line 3:
City:
State:
Zip/Postal Code:
Country:
Phone Number (xxx-xxx-xxxx):
Extension Number:

*Which of the following categories best describes your organization?

If you selected "Other" above, please describe your organization's category here:

What is the name of your organization, agency, or institution?



*Which of our three content areas are you most interested in?
(please check all that apply)



Comments?


*How did you hear about the Sloan Network?
search engine
conference
print publication
online publication
professor/class
friend/colleague
virtual tour
listserv
other
If you selected "Other" above, please describe how you heard about the Sloan Network:
Please describe the purpose(s) for which you will use these resources (for example, to write a research paper or article, to advocate for new policy, to obtain information on child well-being in a particular area, etc.).



When you have checked the appropriate answers above, please click the button labeled "Submit Join Form."

The button "Clear Answers" will clear all the input fields above, if you wish to start over.



E-mail:
Phone: 617-552-1708
Fax: 617-552-9202
3 Lake Street Building, 2nd Floor - 140 Commonwealth Avenue - Chestnut Hill, MA 02467

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