Membership Details
Personal Information
Company / Organization / Institution Nam*
First Name*
Last Name*
Required Documents
*Full Members - Please use the button below to upload a current copy of your CV for the Board of Directors vote.
*Student/Trainee - Please use the button below to upload letter from your department chair or academic advisor stating your student status for review.
*Community Partner - Please use the button below to upload letter stating organization has less than 10 people and include your mission for review.
Acceptable formats are .doc, .docx, .pdf. Browse to select the document from your computer's hard drive. Do not modify the path.
Member Referral
If you were referred by a current APOS Member please type the member's name below.
Referring Member
Personal Information
Prefix
First Name*
Preferred Name
Middle Name
Last Name*
Suffix
Credentials*
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Which of the following best describes your ethnic background?*
What is your race?*
Display Name*
Enter your full name as you would like it shown in communications from the
Society.
What is your gender identity?*
Member Demographics
Primary Occupation*
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Areas of Interest*
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I work with*
I am*
Special Interest Groups*
What stage in your career are you?*
Are you interested in becoming a Mentor/Mentee?*
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How did you learn about APOS?*
Which APOS member benefits motivated you to join?*
Press Ctrl/Cmd key and click on each to select multiple.
Professional Details
*
Profession
*
Biography
Contact Information
Company/Univ.Name*
Country*
Street Address Line 1*
Street Address Line 2
Street Address Line 3
City*
County
State*
Postal Code*
Phone*
Please include country code.
Mobile
Please include country code.
Fax
Please include country code.
Web Address
Contact Information
Country*
State*
City*
Login Details
Login e-mail address*
You will receive e-mail communications to your login e-mail address.
Password**
Password must be at least 6 characters long.
Re-enter Password*