Membership application form

Candidate members must submit the application form including a dedicated CV demonstrating an interest in spondyloarthritis. Letters of support from two current full ASAS members are required for new all applications and should be submitted with the form below. Upgrade requests should be accompanied by a letter of support from the ‘mentor’ that should be submitted with the form below.

I apply for

Full ASAS Membership Associate ASAS Membership Upgrade from associate to full membership

First name

Last name

Birthdate
(Only used for internal administrative purposes, not visible on the website. Format is Y-m-d. e.g. 1985-03-14 (March 14th, 1985))

Title

Current position

Address

Postcode

City

State/Province

Country

Telephone

Fax

E-mail

Name of a mentor (mandatory for associate member applications / upgrade requests; put NA if not applicable):

Name of the full ASAS members who provided letters of support (mandatory for the first time application; put NA if not applicable):

Professional career (list the major steps, e.g., 1980-1986 – Medical School …):

Expression of interest in spondyloarthritis (based on past, current and/or planned research activities):

Publications (last 5 Years):

Please combine all letters in one PDF document and use underscores instead of spaces in the file name (e.g., "recommendation_letter.pdf" instead of "recommendation letter.pdf")

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Membership application form

Contact

Note

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