SOFT Member Type Change 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 type?
*
Associate Member
Full Member
Student Member
Retired Member
What membership type are you applying for?
*
Associate Membership
Full Membership
Retired Membership
Emeritus Membership
What is your SOFT Membership Number?
*
Applicants total number of years of forensic toxicology experience?
*
Example: 6 years
Please list organizations and number of years of forensic toxicology experience below
*
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 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.
*
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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