Get Asps Active Membership Application Information 2020-2025

Filling out the ASPS Active Membership Application Information online is a straightforward process that ensures your details are accurately submitted for membership consideration. This guide provides step-by-step instructions to help you complete the application with confidence.

Follow the steps to complete your application successfully.

1. Click ‘Get Form’ button to obtain the application and open it in an editor.
2. Begin by entering your name in the designated field. Be sure to include your first name, last name, and any relevant title.
3. Fill in both your office and home addresses accurately. Include all contact numbers, such as office phone, cell phone, and fax number, as well as your relevant email addresses.
4. Provide your date of birth to verify your age, which is necessary for the application processing.
5. Identify a sponsor who is an active or life member within a 100-mile radius of your practice location. Include their name for sponsorship verification.
6. Document your training history by listing your pre-medical education, medical school education, and any degrees earned. Complete the internship, residency, and fellowship sections with accurate dates.
7. Indicate your board certification details, including the board authority and dates of certification, especially for plastic surgery.
8. If applicable, list any military experience, including active duty or reserves, with the respective dates of service.
9. Detail any teaching appointments, hospital affiliations, and memberships in medical societies, noting all currently held positions.
10. Mention any special awards or recognitions you have received in your field of work.
11. Review the membership agreement. Acknowledge your understanding of the responsibilities and attach your signature in the provided field.
12. Choose your payment method and fill in the payment information as required, ensuring accuracy to avoid any processing delays.
13. Once you have completed the form, make sure to save your changes, download a copy for your records, and consider printing it for physical submission.

Complete your application online today to take the next step toward active membership.