It is required of the applicant to fill out all of the form fields.
Your ASSET Membership Application will not be processed without paying the application fee of $25 . Please mail a check made payable to ASSET to: American Society of Shoulder and Elbow Therapists 9400 West Higgins Road, Suite 500 Rosemont, IL 60018
I agree to pay the application fee (non-refundable).
I am applying for:
STREET ADDRESS LINE 2
Can we post the above contact information on the online ASSET Member Directory?
ASSET members have the option to receive an electronic-only subscription of the Journal of Shoulder and Elbow Surgery (JSES). Please select an option below to receive this member benefit. You will not be able to proceed in the application process if a selection is not made.
I would like to receive an electronic subscription of JSES
I would like to waive and opt out of the electronic subscription of JSES. I know I will not receive any reimbursement if I opt out of receiving this ASSET member benefit.
Total Years of Experience
Total Years of Orthopaedic Experience
A minimum of 30% of my case load consists of shoulder or elbow patients. (Affiliate Members please select "N/A")
How many years has your practice consisted of this percentage of shoulder and elbow cases?
All application materials must be uploaded in Word or PDF format. To attach each file to your application, click "Select File." Next, select the file from where it is saved on your computer and click open.
Upload your statement of interest explaining why you would like to become an ASSET member.
Upload your curriculum vitae or resume.
An occupational therapist, physical therapist, or athletic trainer will email firstname.lastname@example.org a letter of recommendation.
A licensed physician will email email@example.com a letter of recommendation.
Scan a copy of your license or diploma in PDF format and upload.
I certify that the information contained within my application is accurate. I further understand that should the information be found to be inaccurate in the future in such a way that it does not fulfill the requirements for Membership in the American Society of Shoulder and Elbow Therapists, my membership will be revoked.
Should be Empty: