Dic Resident * Pediatric Orthopaedic Fellow* Pediatic Orthopaedic Surgeon, pre-Board Certified *An individual may apply for candidate-corresponding membership during residency training by providing confirmation of acceptance into a Pediatric Orthopedic Fellowship. For current Pediatric Orthopaedic Fellows, a letter from your Fellowship Director is required. About Yourself Name: Home Address: City, State & Zip Code: Home Phone: Date of Birth: Birthplace: Citizenship: Spouse s Name (optional.
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How to fill out the POSNA Application For Candidate-Corresponding Membership online
Completing the POSNA Application For Candidate-Corresponding Membership online is a crucial step for individuals aspiring to join the Pediatric Orthopaedic Society of North America. This guide will equip you with clear and detailed instructions for each section of the application form, ensuring a smooth submission process.
Follow the steps to complete your application with ease.
- Click ‘Get Form’ button to obtain the form and open it in an online editor.
- Begin by selecting the level of Candidate Membership you are applying for. Choose from options such as Orthopaedic Resident, Pediatric Orthopaedic Fellow, or Pediatric Orthopaedic Surgeon, pre-Board Certified.
- Provide your personal information in the 'About Yourself' section. This includes your name, home address, contact details, date of birth, and birthplace. If applicable, you may also include your spouse's name.
- Fill in your education details. List the medical college, residency program, post-residency pediatric orthopaedic education, and any other postgraduate studies, including relevant dates and program directors.
- Indicate in which states or countries you are licensed to practice. Be transparent about any past instances where your license has been revoked or restricted and any lost privileges at hospitals.
- Detail your academic appointments, hospitals with privileges, teaching affiliations, certification exam schedule, and subspecialty interests in the respective sections.
- Describe the nature of your current practice and demonstrate that at least fifty percent of your professional activity is dedicated to pediatric orthopaedics. This should be in paragraph form.
- Identify your sponsors according to the application guidelines. Sponsors can include a Pediatric Orthopaedic Fellowship Director, a POSNA member familiar with your practice, or a practicing pediatric orthopaedic surgeon from your country. Ensure that they upload their Sponsor Form and/or letter of recommendation via the online application site.
- Read and agree to the compliance with By-Laws and Agreement of Confidentiality Regarding Application. Confirm your agreement by checking the designated box.
- Once you have completed all sections, review your application for accuracy. You can then save your changes, download the form, print it, or share it as needed.
Complete your application online today and take a significant step towards your professional journey.
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