Application for membership

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:

2. 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.

3. A letter of recommendation from each of the two sponsors should be included with this application (6 copies of each).

4. Please include with the application an updated current curriculum vitae and bibliography (6 copies each).

5. Please provide also a list of endocrine surgical procedures performed in the past six months (6 copies).

6. 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