AOA Invited Pathway Membership Profile Application Form

Invited Pathway AOA Membership Profile Application

Class of 2026
Thank you for your interest in applying for membership with the American Orthopaedic Association. Please complete the following information.
Eligibility Requirements
- Academic Orthopaedic Department Chair or Vice Chair (Active Membership candidates must have MD or DO credentials*)
- Residency Program Director/CORD Affiliate*
- AOA Travelling Fellowship Alumni
*interim positions are excluded
Membership Categories
Active member
A candidate for Active Membership shall have been engaged in the practice of Orthopaedics for at least four years by December 31 in the year of nomination into membership (by December 31, 2025, for the class of 2026).  He or she shall have demonstrated leadership in the Orthopaedic community, evidenced significant contributions to the field of Orthopaedics, and been certified by the American Board of Orthopaedic Surgery, the American Osteopathic Board of Orthopaedic Surgery or American Osteopathic Board of Surgery, or be a Fellow of the Royal College of Surgeons of Canada in Orthopaedic Surgery.

Affiliate member
Affiliate membership may be granted to distinguished individuals who have contributed to the advancement of musculoskeletal patient care, through leadership, research, or education.

Associate member
Associate Membership may be granted to highly capable individuals with an advanced degree who have an academic appointment in an orthopedics department and are not involved in clinical practice.
I am applying for the following Membership Category*

ActiveAffiliateAssociate
I am applying as a:*

Department ChairDepartment Vice ChairProgram DirectorAOA Travelling Fellow Alumni
Name *

First NameMiddle NameLast Name
Designation Credentials *
Current Title/Position*
Institution Name*
Address Type*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email*
example@example.com
Preferred Email*
Mobile Phone Number*
Please enter a valid phone number.
Practice Type*

Full-time academicHospital/System based employeeMilitary/Government employeeNot applicablePart-time academicPrivate PracticePrivate Practice with academicRetiredOther
Sub-Specialty*
Clinical Practice Start Date - please indicate the date on which you performed your first clinical duties as an unsupervised orthopaedic surgeon (office or surgery).

MonthDayYear
Date
Date of Birth*

MonthDayYear
Date
Ethnicity*

African AmericanAsianCaucasianHispanic LatinoMultiracialNative AmericanPrefer not to answerNon Hispanic LatinoOther
Gender*
Upload Letter of Recommendation*

Please upload a letter of recommendation from an AOA member.
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Upload CV*

Please upload your current CV
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Invited Pathway AOA Membership Profile Application

Thank you for your interest in applying for membership with the American Orthopaedic Association. Please complete the following information.

Membership Categories