Membership Application
Membership
Membership Application Deadline:
May 15, 2008
Application Instructions
- Applicants for active membership must have completed their training three years prior to election to membership. This does not apply to Vascular Fellows completing their Vascular Fellowship from an "approved" Vascular Fellowship Program. These individuals may apply for Active membership upon completion of the program.
- Make sure all questions are answered completely and that two individuals are listed as references. It is the responsibility of the applicant to be certain that letters of reference are transmitted to: Eastern Vascular Society, 19 North Street, Salem, MA, 01970. It is preferable if at least one person listed as a reference is not in partnership practice with the applicant, nor a member of the same academic department.
- Completed applications must be received by May 15, 2008.
2008 Membership Chairman
Evan C. Lipsitz, MD
Montefiore Medical Center
Bronx, NY
Chair, EVS Membership Committee
Eastern Vascular Society
19 North Street
Salem, MA 01970
(978) 745-8331 ~ Fax: (978) 745-8334
Email: evs@bostonbased.com
Please open and/or save a copy of the Membership Guidelines found below. Select the appropriate Membership Form below. These forms are in a PDF format enabling the applicant to complete the form electronically.
MEMBERSHIP GUIDELINES
Please review carefully
ACTIVE MEMBERSHIP FORM
CANDIDATE OR ASSOCIATE MEMBERSHIP FORM