Edit, Download, and Sign the Academy of Surgical Research Membership Application
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How do I fill this out?
To fill out this form, start by entering your personal details in the provided fields. Ensure you verify your surgical specialty and references accurately. Finally, choose your membership type and provide payment information before submission.
How to fill out the Academy of Surgical Research Membership Application?
1
Fill in your personal and contact information.
2
Specify your surgical specialty and sub-specialty.
3
List two references in your field of interest.
4
Select your desired membership type.
5
Provide payment details and submit the form.
Who needs the Academy of Surgical Research Membership Application?
1
Surgeons who want to join a reputable surgical research community.
2
Medical students seeking mentorship and networking in surgical research.
3
Residents in training aiming for membership discounts and resources.
4
Research professionals looking to collaborate with peers in the field.
5
Academics interested in staying updated on surgical research advancements.
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What are the instructions for submitting this form?
To submit this application, you can print the completed form and send it to Academy of Surgical Research, 1161 Wayzata Blvd E #247, Wayzata, MN 55391. You may also scan and email your application to info@surgicalresearch.org. Alternatively, you can contact ASR Member Services at 763.235.6464 for further assistance.
What are the important dates for this form in 2024 and 2025?
For the year 2024, the application deadline is January 15 and for 2025 it's January 15. Ensure you submit your application before these dates to be considered for membership for the respective year.
What is the purpose of this form?
The purpose of this form is to formalize the membership application process for the Academy of Surgical Research. By completing and submitting this document, applicants can gain access to a wide range of resources and networking opportunities available through ASR membership. This form facilitates the collection of necessary personal details and payment information to process the application effectively.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Your full name as it should appear.
- 2. Degrees: List your academic qualifications.
- 3. Affiliation: Your current institution or organization.
- 4. Position: Your job title or position.
- 5. Address: Your current address including city, state, zip, and country.
- 6. Phone: Your main office and personal phone numbers.
- 7. Email: Your email address for correspondence.
- 8. Surgical Specialty: Your area of surgical specialization.
- 9. Membership Type: Indicate whether you are applying for individual or associate membership.
- 10. Payment Information: Fill in your credit card details or attach a check.
- 11. References: Provide names and contact information of two references.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be considered for membership in the Academy of Surgical Research. This may prevent you from accessing resources and networking opportunities provided by ASR. Ensure to double-check your submission before the deadline.
- Administrative Delays: Failure to submit can lead to delays in processing applications.
- Lost Opportunities: You may miss out on valuable networking and resources.
- Incomplete Application: An incomplete application could result in denial of membership.
How do I know when to use this form?
- 1. New Membership Application: To apply for individual or associate membership.
- 2. Renew Membership: When reapplying to maintain active membership status.
- 3. Updating Information: To update your personal or professional details for membership records.
- 4. Submitting References: To list professional references as part of the application.
- 5. Payment Submission: To provide payment details for membership processing.
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There is no limit to the number of edits you can make, so feel free to refine your application as needed.
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You can easily go back and edit any section of the form until you are satisfied with your application.
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