Resident/Fellow Membership Application

THE RHINOPLASTY SOCIETY
RESIDENT/FELLOW MEMBERSHIP APPLICATION

This application is for all Resident and Fellows in Plastic Surgery, Facial Plastic Surgery or Otolaryngology/ENT, who wish to be associated with The Rhinoplasty Society during their training.

*Please read all instructions and have required documents ready for upload before beginning as information cannot be saved.

REQUIRED DOCUMENTS (for upload):

  1. Letter from program director on official letterhead and signed by same. This letter is to state the applicant’s specialty, as well as, their anticipated graduation date.
  2. Curriculum Vitae

Benefits of Resident/Fellow Category:

  • Receive all correspondence regarding TRS Newsletters, annual meetings, as well as, any co-sponsored/endorsed meetings.
  • Annual Meeting Registration Fee is reduced to $150 for all Residents and Fellows
  • No application fee
  • No annual dues
  • At the end your residency/fellowship, you can move to Candidate status for -3- years active practice, after which you would be eligible to apply for full membership with TRS, provided you meet the current criteria.

MEMBERSHIP APPLICATION PROCEDURE

*PLEASE NOTE: Required documents must be ready for upload before filling out the form below. Unfinished applications cannot be saved.

Required Uploads - Please keep each upload under 10 MB in size and note the acceptable formats:

  1. Program Director Letter (doc, docx, pdf):
  2. Curriculum Vitae (doc, docx, pdf):

MEMBERSHIP APPLICATION

Application is for:

ResidentFellow

Personal Information

Name:

Date of Birth:

Birthplace:

Address:

City:

Province / State:

Country:


Zip:

Email Address:

MEDICAL EDUCATION

Undergraduate Education:

Degree/Year:

Medical School:

Degree/Year:

GRADUATE MEDICAL EDUCATION

Residency:

Fellowship:

Hospital Affiliations/ Dates:

Honors, Fellowships, Research, and Grants:

On behalf of The Rhinoplasty Society Board of Directors and its members, we welcome your association with our Society and look forward to your full membership when all requirements have been met.

If at any time you have questions or comments, please do not hesitate to contact Jeanie Hodges at:
rhinoplastysociety@gmail.com or 904-786-1377.