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Candidate Associate Membership Application

CANDIDATE ASSOCIATE MEMBERSHIP

This membership is limited to those individuals (MD’s, DO’s, PhD’s) who are actively engaged in training in a profession that directly relates to pediatric orthopaedic surgery either clinically or in the field of research.  Applicants must reside and work within the United States or Canada.  Candidate membership will consist of a single non-renewable six (6) year term of membership with no guarantee of advancement to associate 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. Email a copy of the sponsor form to your selected sponsors for completion.

Be sure to save the completed application and CV as Word documents or PDF files. Please email completed forms 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.

PLEASE NOTE THE FOLLOWING INSTRUCTIONS FOR YOUR SPONSORS:
When submitting your recommendation letter and sponsor form for sponsorship of a membership applicant please follow this procedure:

  1. Fill out the sponsor form in Microsoft Word and save it as a Word (.doc) document or PDF file.
  2. Save your recommendation letter in a Word document or PDF file.
  3. Email both as attachments to posna@aaos.org
  4. Put the applicants name in the subject line.

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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