ACOEP Life Member Application

Thank You for Applying for Life Membership

With Life Membership, your annual membership dues are fully waived. Please complete the application below to confirm that the criteria apply to you. Note: Life Membership status and corresponding dues changes take effect beginning with the next dues cycle after the granting of this status.

About Life Membership

Life Membership recognizes long-standing members of the American College of Osteopathic Emergency Physicians who have made significant contributions to the specialty and to the College. Life Membership may be granted, upon application to the Member Services Committee, to any member who meets at least one of the criteria listed below. The committee will review all applications and submit qualified recommendations to the Board of Directors for final approval.

Bylaw Wording

(f) Life Member. Life membership may be granted, upon application to the Member Services Committee to any member who meets at least one of the following criteria:

(1) Twenty-five (25) years of continuous, Active membership in the College and has reached the federally defined retirement age; or
(2) Permanently retired or disabled physician with a minimum of twenty (20) years of continuous, Active membership in the College prior to being designated a Retired member, and a minimum of five (5) years; or
(3) Sixty (60) years of age, or older, Active member of the College for at least ten (10) consecutive years, and officially and permanently retired from the practice of emergency medicine.

Federally Defined Retirement Age: As defined by the U.S. Social Security Administration, the federally defined retirement age is generally between 66 and 67 years depending on year of birth.

What This Means for You: You may qualify for Life Membership under any one of the criteria above. Please provide details about your membership history, current status, and retirement information so the Member Services Committee can review your eligibility. Recommendations from the committee are submitted to the Board of Directors for final approval.

Application Review Process

Applications are reviewed four times per year according to the following schedule:

November 1
February 1
May 1
August 1

Applications received after these cutoff dates will be reviewed in the next review cycle.

Each application will first be reviewed by the Membership Committee and then forwarded to the Board of Directors for final approval at their next scheduled meeting. Once the Board votes to approve your application, you will receive formal notification of your membership status change.

If we have any questions about your submission during this process, we will reach out directly.

Optional Details to Help Review

These details are optional but can help expedite verification and approval.

Last primary employer or group
Last title or role
Years in practice
Any notes or additional context for the Member Services Committee

Applicant's Full Name*

First NameLast Name

Email*

example@example.com

I am applying for Life Membership based on the following eligibility criteria:*

I have maintained 25 years of continuous Active membership and have reached the federally defined retirement age.I am a permanently retired or disabled physician with 20 years of continuous Active membership prior to Retired status, and at least 5 years as a Retired member.I am 60 years of age or older, have been an Active member for at least 10 consecutive years, and am officially and permanently retired from the practice of emergency medicine.

What year did you first become an ACOEP Active Member?*

Have you been an Active and/or Retired Member continuously since that time?*

YesNo

Date of Official Retirement (if applicable)

Date of Birth*

Anything else the Membership Committee should know?

I attest that the information provided in this application is true and accurate.I understand that the Member Services Committee will review my eligibility and forward recommendations to the Board of Directors for final approval.I acknowledge that Life Membership eligibility is based on the ACOEP Bylaws and may require verification of membership history and retirement status.

Signature*

Date*

Date