Center for Weight and Health, U.C. Berkeley

Center for Weight and Health

Application Form
for inclusion in the
Directory of Professionals

In an effort to promote multidisciplinary and collaborative research and interventions, the Center for Weight and Health has developed a database of professionals (researchers and providers) whose work is relevant to weight-related health issues and/or food security. If you would like to be listed in our on-line directory of professionals, please complete this form as fully as possible.

Please take a few moments to tell us about your work. When you are finished, click the "Submit" button at the bottom of the form to send the information to us. For more information, please contact us at (510) 642-1599 or edonovan@nature.berkeley.edu.

Name and Credentials:

Job Title:

Institution(s) or Organization(s):

Department(s):

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

Email:

Web site address:

http://

1. I am:
A researcher
A practictioner / provider / administrator / other
Both

2. Discipline - Check all that apply:

Agricultural Economics
Agriculture
Anthropology
Behavioral Sciences
Biological Sciences
Biostatistics
Consumer Science/Home Economics
Demography
Economics
Education
Engineering
Environmental Design
Environmental Sciences
Epidemiology
Ethics
Exercise/Exercise Physiology
Food Security/Hunger

Food Systems
Genetics
Health Education
Law
Medicine, Specialty:
Nursing e.g. pediatrics
Nutrition/Dietetics
Pharmacology
Physical Education
Psychology
Public Health
Public Policy
Social Welfare
Sociology
Statistics
Other:

3. Focus of Research and/or Practice - Check all that apply:

Weight-related areas:
Access to Care
Body image
Determinants of dietary intake
Determinants of overweight
Determinants of physical activity
Diabetes
Eating disorders
Healthcare systems/managed care
Health complications of overweight
Mental health issues
Prevention of overweight
School food service
Treatment of overweight

Food insecurity/hunger related areas:
Determinants of hunger/food insecurity
Food distribution
Food marketing
Food production
Hunger/food insecurity prevention/intervention
Retail food sector
School food service

Other:

4. Methodologies/expertise used in practice or research - Check all that apply:

Advocacy
Animal research
Applied research
Basic Research
Clinical practice
Clinical research
Clinical trials
Community based interventions
Community education
Community organizing
Counseling/individual education
Direct Marketing
Environmental/infrastructure changes
Evaluation of programs / projects

Intervention studies
Family-based interventions
Laboratory research
Lifestyle/behavior change
Mass media campaigns
Policy development
Population surveys
Qualitative research
Quantitative research
School based interventions
Social marketing
Other:

5. Target Age Groups/Age Groups of Interest - check all that apply:

Infancy to Pre-K
School Age (K-12)
Adults
Elderly
Not applicable

I would like to be listed in the directory Yes No

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Thank you for your interest in our Directory of Professionals.

Click "Submit Query" to send us your reply, or click "Reset" to clear all of the fields and start over.

Click "Submit Query" to send us your reply, or
click "Reset" to clear all of the fields and start over.