SOFT Membership Application
Applicant Name
*
First Name
Last Name
Email
*
example@example.com
Organization/Agency
*
Date of Birth
*
-
Month
-
Day
Year
Date
What is your current membership status?
*
I am applying for membership.
I am currently an Associate Member.
I am currently a Full Member.
I am currently a Student Member
I am currently a Retired Member
What membership level are you applying for?
*
Associate Membership
Full Membership
Student Membership
What is your SOFT Membership Number?
Have you ever been a member of SOFT?
*
No
Yes
When were you a SOFT member? (Provide dates)
*
Example: 2020-2022
Applicants total number of years of forensic toxicology experience? If none, put N/A.
*
Example: 6 years
Please list organizations and number of years of forensic toxicology experience below
*
What/who encouraged you to apply for SOFT membership at this time?
*
Referral from a Colleague
Referral from a Professor
JAT Advertisement
Attended a SOFT Program
Other
What/Who encouraged you to apply for SOFT Membership, please fill in the reason below:
*
Would you like to continue your JAT Subscription for $40?
*
Yes, please invoice me
No, cancel my subscription
Application Sponsors
Sponsor 1 Name
*
First Name
Last Name
Sponsor 1 Email
*
example@example.com
Sponsor 1 Recommendation File Upload
*
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Sponsor 2 Name
*
First Name
Last Name
Sponsor 2 Email
*
example@example.com
Sponsor 2 Recommendation File Upload
*
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Acknowledgement & CV/Resume Upload
I am a Full or Charter Member of SOFT
*
Yes
I am at least 65 years of age
*
Yes
I have maintained Paid Membership for at least 10 years
*
Yes
I have maintained Paid Membership for at least 25 years
*
Yes
I agree to conduct myself in a professional manner, in accordance with SOFT Ethics Procedures. I understand that if I behave in a manner that is detrimental to SOFT or the profession of toxicology in general, and a report of this behavior is substantiated by the SOFT Ethics Committee and confirmed by the Board, I may be censured or expelled from membership.
*
Yes, I agree.
I hereby certify that all information is true and understand that any misrepresentation may lead to dismissal from the Society of Forensic Toxicologists, Inc.
*
Yes, I agree.
I will upload my CV and any additional information to include at least: a) Employment (at least past 6 years for Full Member) b) Education (undergraduate, graduate, postgraduate) c) Publications d) Forensic toxicology experience (be specific). All materials should be submitted in English.
*
Yes, I agree.
CV/Resume File Upload
*
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Please upload your CV/Resume and any other documentation you'd like the committee to review with your application
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