ASAS Membership application form

Candidate members must submit the application form with a modified C.V. [sample] demonstrating a dedicated interest in spondylitis. A letter of support from two current ASAS members is required.

Note: Fields marked with * are required!

I apply for: *

Full ASAS Membership
Associate ASAS Membership

Name *


Title


Institution


Address *


City *


State/Provence


Country *


Telephone *


Fax


Email *

Names of persons who have written a recommendation letter *

Name #1

Name #2

Personal statement *

Briefly describe your interest in the spondyloarthropathies. This can include patient care, epidemiology, economic and outcomes research, clinical research, basic science research, or related areas.

Publications

Please paste significant publications in the field of spondyloarthropathies.

Curriculum Vitae *

Please paste your CV according to sample CV [view]