Get Application For Allied Health Membership - American College Of ... - Acr

Filling out the Application For Allied Health Membership can seem daunting, but this comprehensive guide will help you navigate each section with ease. By following these instructions, you can complete the application accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and access it for online completion.
2. Begin by entering your full name, including any degrees you hold. Ensure that all names and titles are clearly typed.
3. Provide your business and home addresses, along with the relevant city, state/province, and ZIP/postal codes. Note that the home address will be used for correspondence.
4. Fill in your email address, home phone, and business phone numbers. Include your gender and birth date, which are required for identification purposes.
5. Indicate whether you are employed full-time by any specific organizations, such as the Veterans Administration or the U.S. military.
6. Report all qualifying training, including the name of the institution, specialty, and year of graduation in the specified sections.
7. If applicable, provide information regarding any disciplinary history, responding to each question with either 'yes' or 'no' as required. Follow with explanations as needed.
8. Review the statement agreeing to abide by the bylaws and policies, and ensure you certify the information provided is correct.
9. Sign and date the application at the bottom of the form.
10. Complete the payment information section using the appropriate payment method. Remember not to send credit card information via email or fax.
11. Save any changes made to the form, then you can download, print, or share the completed application as needed.

Start completing your requirements for Allied Health Membership online today.