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Candidate Active Membership Application

CANDIDATE ACTIVE MEMBERSHIP

This membership is limited to those orthopaedic surgeons who reside and practice within the United States or Canada, and who will meet the requirements for the American Board of Orthopaedic Surgeons or Royal College of Physicians and Surgeons of Canada or the American Osteopathic Board of Orthopedic Surgery. An individual may apply for candidate membership during residency training by providing confirmation of acceptance for a Pediatric Orthopedic Fellowship. He/she shall become a Candidate member as long as he or she devotes at least fifty percent (50%) of his/her professional time to pediatric orthopaedics after residency and fellowship. Candidate membership will consist of a single non-renewable six (6) year term of membership with no guarantee of advancement to Active membership and will be maintained by compliance with dues, fees, and assessments, and by attendance of at least two annual meetings within the six year term of membership

Please complete the following application forms. Email a copy of the sponsor form to your selected sponsor for completion.

Be sure to save the completed application and CV as Word documents or PDF files. Please email completed forms and letters to the POSNA office: posna@aaos.org. Completed applications can also be saved on a CD and mailed to the POSNA Office, 6300 N. River Rd, Suite 727, Rosemont, IL 60018-4226.

Your sponsors must save the sponsor form and recommendation letter as a Word document or PDF file and email them to posna@aaos.org.

Please submit with your application, a head shot photograph in jpg or tif file format, 300 dpi (minimum. resolution) and minimum photo size 3”x 2”, prefer 4”x6”. Photo can be emailed or sent on CD. This will be used for the Membership Directory and New Member Board once you become a member.

NOTE: There is a $50.00 application fee, payable by check (US dollars), Visa or Mastercard. We do not accept American Express. If paying by credit card, completed checklists should be mailed to the POSNA Office, 6300 N. River Rd, Suite 727, Rosemont, IL 60018-4226. OR you may call the office with credit card information after you fax the checklist with your name on it.

Annual Meeting

Annual Meeting Location May 16-19, 2012 in Denver, CO

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