AHSE General Membership Application

General membership is for HS faculty interested in health science education. Members will be sent academy news and events through an email list-serv. Members have the opportunity to network with Academy Fellows, who are recognized as exceptional educators in the health sciences. Members are eligible to participate in our mentorship program and receive academy research services, based on need and availability (REDCap support, qualitative statistical support, poster/abstract review). A short application form is required.

Eligibility: Any HS faculty interested in health science education can be members of the academy (adjunct, visiting, instructor, assistant, associate and professor).

We accept new Members anytime of the year.

Faculty/Staff: ^*

First Name: ^*

Last Name: ^*

UNID (e.g. 00123456): ^*

Email: ^*

College/School: ^*

Department: ^*

Degree(s):

Division:

Rank:

Describe why you are interested in being a Member of the Academy: ^*