DEADLINE: DECEMBER 1 2026

1. Click ‘Get Form’ to open the application for Corresponding Membership in the editor.
2. Begin by filling out the 'About Yourself' section. Enter your name, home address, city, state, zip code, country, date of birth, and contact information including home phone and birthplace.
3. Specify where you would like your mail directed by selecting either 'office' or 'home'. Then complete your office address details.
4. Provide information about your medical education including the medical college attended, degree obtained, and relevant dates.
5. Detail your professional experience by listing your board certification date, practice start dates in Pediatric Orthopaedics, and the percentage of your practice dedicated to this specialty.
6. Complete sections on resident training and post-graduate studies by entering institution names and locations along with relevant dates.
7. List all hospitals where you have privileges and any teaching affiliations. Include subspecialty interests as well.
8. Answer questions regarding licensure status and any past restrictions or revocations. If applicable, provide explanations on a separate sheet.
9. Fill out additional data such as medical society memberships and contributions to literature. Ensure sponsors are from eligible categories as specified.
10. Finally, review the compliance agreement section carefully before signing. Check the box indicating agreement before submitting your application.

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