Printable Membership Application Form
This application form should be printed out and completed by the applicant and thereafter sent by ordinary mail to the Secretary-Treasurer together with other documents listed below.
Instruction for membership application:
- The application form (and 6 copies) should be completed by the candidate, signed by the candidate, and also signed by two sponsors. The sponsors must be current members of the IAES.
- A letter of recommendation from each of the two sponsors should be included with this application (6 copies of each).
- Please include with the application an updated current curriculum vitae and bibliography (6 copies each).
- Please provide also a list of endocrine surgical procedures performed in the past six months (6 copies).
- Return the application and the above materials to:
Gerard M. Doherty, M.D.
NW Thompson Professor of Surgery
Secretary-Treasurer IAES
Section of General Surgery
University of Michigan
2920 Taubman Center
1500 East Medical Center Drive
Ann Arbor, MI 48109
USA