AANA Membership Sponsor Form
Applicant's Name:
*
First Name
Middle Name
Last Name
Suffix
Applicant Member Type applied for (choose one)
*
Please select below
Active
Associate
Advanced Practitioner
Resident/Fellow
International
Unknown
Sponsor's Name
*
First Name
Middle Name
Last Name
Suffix
Sponsor's Email
*
example@example.com
I am (choose one)
*
Please select below
An Active AANA Member
Chief of Orthopaedics or Surgery
Fellowship Director
1. Detail your knowledge of the applicant's education, training, and arthroscopic surgery practice:
*
2. Detail the applicant's potential contributions to AANA and the field of arthroscopy (e.g. education, public policy, volunteer leadership, research):
*
3. Detail your familiarity with the applicant and your knowledge of the applicant's moral character, adherence to ethical standards, and standing in the medical community:
*
4. Detail any additional information that may assist the Membership Comittee in evaluating the applicant:
*
Submit
Should be Empty: