Regular Membership Electronic Application Form

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Regular Membership Application Form

Please use this electronic application form when you and your AAI sponsor both have valid e-mail addresses and your e-mail application supports "attachments." After you submit this form, an e-mail will be sent to you asking you to confirm the information submitted. When sending your confirmation, please attach a word processor file containing your current CV and bibliography. The AAI sponsor you name will be sent an e-mail to confirm support for your membership application. Your application is not complete until we receive replies from both you and your sponsor.

Please complete every field to facilitate processing your application.

Are you currently an AAI Trainee member? Yes No

Have you been a Regular AAI Member in the past? Yes No

Applicant

First, MI, Last Name:
Please Indicate Type of Degree(s) and Date(s) Received:
Institution:

Current Title:
Current Organization:
Department/Division:
Mailing Address:
Mailing Address:
City, State, Country:
Postal Code:
E-mail:
Phone:
Facsimile:

	The following text boxes will scroll to accommodate the size of your entries.
Current Publication (1):
Specialties:
Professional Activities:

AAI Member Sponsor

First, MI, Last Name:
E-mail:

Application Review Deadlines
Applications are reviewed on a quarterly basis.

[Membership Benefits] [Regular Membership] [Trainee Membership]

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Page last modified: 02.22.08.