American Pecan Promotion Board

First name*

Last name*

Email*

Country*

Zip Code

What type of credentialed health professional are you? (check all that apply)*

Fitness professional Nurse/Nurse practitioner Physician/Physician assistant Registered dietitian nutritionist Nutrition and dietetics technician Student in nutrition or health-related field Intern Other

Please provide details on your credentials.

Please note your credentials, if any. (check all that apply)

RDN CDCES CNS MD NP PA RN Other

What are your areas of interest and/or expertise? (check all that apply)

Please list any other areas of interest.

What topics are you interested in receiving information on from the American Pecan Promotion Board? (check all that apply) *

Please list any other topics you are interested in.

What types of materials are you interested in receiving?

Please list any other materials you would like to receive.

Are you interested in partnering with the American Pecan Council on new recipes, blog posts, etc.?

Yes No

What digital platforms do you use to share health & wellness information with your community? (include all applicable social handles)

Blog/Website Facebook Instagram X Pinterest YouTube I don’t use digital platforms to share health & wellness information Other

Please list where you share with your community.

How did you hear about the Pecan Powerhouse Network?

Social Newsletter Smartbrief DPG Conference A current PPN member Another Way

Please share the name of the PPN member.

Please share how you heard about the Pecan Powerhouse Network.

What is your favorite way to enjoy pecans?

Join the Pecan Powerhouse Network