AAPOS - American Association for Pediatric Ophthalmology and Strabismus

American Association for Pediatric Ophthalmology and Strabismus

International Candidate In Training Membership Application

IMPORTANT NOTE:

Candidates for membership as an International Candidate-in-Training are approved on a monthly basis by the AAPOS board of directors. References must be completed before the application is approved. International Candidate-in-Training applicants MUST be a current fellow at the time the application is submitted.

This is a time–limited membership category. An individual is eligible for the category of International Candidate-in-Training for the duration of the fellowship program plus one year for a total not to exceed three years.

Please note that applicants are required to provide complete and accurate professional information and are responsible for obtaining references and verifications for credentials, licenses, certifications and educational requirements.

Personal Information

PLEASE NOTE: An acknowledgement of the application will be sent by email to this address. This entry must be accurate; otherwise, no acknowledgement will be received.

Primary Office Address

Please include area code / country code.

Professional Information & References

Is this an AUPO FCC compliant clinical position under the direction of an AAPOS/AUPO approved program? *


(MUST be an ACTIVE or EMERITUS AAPOS Member)

Signature

You will have the opportunity to review and edit your form entries.