Office Address Date of Birth City State Zip Spouse s Name Phone Fax E-mail Address 2 M F Education, Training and Appointments Name Location Number of Mon.

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How to fill out the Southern Thoracic Surgical Association Application For Active Membership online

Applying for active membership with the Southern Thoracic Surgical Association requires careful attention to detail. This guide provides a clear, step-by-step approach to help you complete the application online, ensuring that you meet all necessary requirements.

Follow the steps to successfully complete your application.

  1. Click ‘Get Form’ button to access the application form and open it in your preferred editor.
  2. In the General Information section, provide your full name, including any degrees. Indicate your gender, office address, date of birth, city, state, zip code, spouse’s name (if applicable), phone number, fax number, and email address.
  3. Proceed to the Education, Training and Appointments section. List the names and locations of your medical school, internship, residency programs, and any fellowships you have completed. Specify the duration of each attendance in months or years as needed.
  4. In the Current Practice section, indicate the percentage of your current practice dedicated to specific areas of surgery, including general surgery and thoracic surgery. Provide your certificate number and the year it was issued, selecting from the options provided.
  5. For the Member Sponsors section, you will need to list two sponsors who can provide letters of recommendation. Fill in their names and indicate whether their letters are enclosed or pending.
  6. Before submission, review the membership requirements carefully to ensure you meet all criteria. Gather any necessary documentation, including your Curriculum Vitae and bibliography.
  7. Once completed, submit the application, along with letters of recommendation, either via email or postal service to the designated address provided in the application.
  8. Finally, save your changes, download, or print the completed form for your records.

Start your application process online to become a member of the Southern Thoracic Surgical Association today.

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