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Homicide Research Working Group Membership Form: 2019 The HRWG membership period is January 1 st – December 31 st CONTACT INFORMATION Please PRINT or TYPE contact information. The address provided will be used in the membership directory and for mailing the journal. Your contact information will NOT be distributed to anyone who is not an HRWG member. For agency memberships, list contact person as well as names and email addresses of all interested employees on back of form. Today’s Date: ___ /____/____ Phone: ________________________________________ Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ Email Address: ______________________________________________________________ Add email address to HRWG Listserv? _____ Yes _____ No DUES AND PAYMENT INFORMATION HRWG has a tiered dues structure based on gross annual income. We use the honor system. Student membership is $30 Individual memberships are $45 (< $25K), $65 ($25K - $75K), or $75 ($75K+). Please mail completed membership form & payment to the Treasurer. Please make payments payable to HRWG. Melissa Bemiller, HRWG P.O. Box 7645 North Augusta, SC 29861 Email: [email protected] MEMBERSHIP BENEFITS Individual and Student members are entitled to 1. Attend the HRWG Annual Meeting 2. 1-year subscription to Homicide Studies, an interdisciplinary & international journal 3. Access to the HRWG listserv linking homicide researchers around the world. Couples memberships include one copy of all mailings & access to the listserv & Annual Meeting for both persons. HOMICIDE RESEARCH WORKING GROUP (HRWG) GOALS To forge links between research, epidemiology, & practical programs to reduce levels of mortality from violence To promote improved data quality & the linking of diverse homicide data sources To foster collaborative, interdisciplinary research on lethal & non-lethal violence To encourage more efficient sharing of techniques for measuring & analyzing homicide To create & maintain a communication network among those collecting, maintaining, & analyzing homicide data sets to generate a stronger working

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Homicide Research Working Group Membership Form: 2019

The HRWG membership period is January 1st – December 31st

CONTACT INFORMATION Please PRINT or TYPE contact information. The address provided will be used in the membership directory

and for mailing the journal. Your contact information will NOT be distributed to anyone

who is not an HRWG member. For agency memberships, list contact person as well as names

and email addresses of all interested employees on back of form.

Today’s Date: ___ /____/____ Phone: ________________________________________Name: __________________________________________________Address: __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________Email Address: ______________________________________________________________Add email address to HRWG Listserv? _____ Yes _____ No

DUES AND PAYMENT INFORMATION HRWG has a tiered dues structure

based on gross annual income. We use the honor system. Student membership is $30 Individual memberships are

$45 (< $25K), $65 ($25K - $75K), or $75 ($75K+). Couples memberships are an additional $20 – using the

higher paid partner’s income, select a base fee from the individual membership categories and then add $20.

All agency memberships are the same price: $115.

Please indicate below the type of membership & your method of payment. All payments are due in US currency.

Membership Type - Please check one of the following: Amount Paid

[ ] Individual Membership - $45, $65, or $75 __________[ ] Couples Membership - $65, $85, or $95 __________[ ] Agency Membership - $115 __________[ ] Student Membership - $30 __________

Payment Method: [ ] Check or Money Order: [ ] Online (https://squareup.com/store/HRWG)

Do you want to receive Homicide Studies in print or electronically? ________ Paper ________ ElectronicallyPlease mail completed membership form & payment to the Treasurer. Please make payments payable to HRWG.

Melissa Bemiller, HRWGP.O. Box 7645North Augusta, SC 29861

Email: [email protected]

MEMBERSHIP BENEFITS

Individual and Student members are entitled to 1. Attend the HRWG Annual Meeting2. 1-year subscription to Homicide Studies, an

interdisciplinary & international journal 3. Access to the HRWG listserv linking

homicide researchers around the world.

Couples memberships include one copy of all mailings & access to the listserv & Annual Meeting for both persons.

Agency memberships include two copies of all mailings & access to the listserv & Annual Meeting for all interested employees.

Educational institutions are not eligible for agency memberships.

HOMICIDE RESEARCH WORKING GROUP (HRWG) GOALS

To forge links between research, epidemiology, & practical programs to reduce levels of mortality from violence

To promote improved data quality & the linking of diverse homicide data sources

To foster collaborative, interdisciplinary research on lethal & non-lethal violence

To encourage more efficient sharing of techniques for measuring & analyzing homicide

To create & maintain a communication network among those collecting, maintaining, & analyzing homicide data sets

to generate a stronger working relationship among homicide researchers

[ ] Yes, I agree with HRWG goals & want to become an HRWG member.

[ ] No, I do not want to be an HRWG member;

please remove my name from the mailing list.