| Account Login Information |
| User ID |
Your User ID will be your membership (account) number |
| Create Password |
|
| |
| Contact Information |
| Please provide the following application information. Fields marked with an * are required. |
| Salutation |
|
| First Name* |
|
| Middle Name or Initial |
|
| Last Name* |
|
| Suffix (Jr., Sr., etc.) |
|
| Achieved Degrees |
Select no more than 3 of terminal (highest achieved) degrees.
Select only if terminal degree (highest degree you plan to achieve).
|
| Current Position* |
|
| Address Type* |
|
| Organization* |
|
| Type of Organization* |
|
| Department/Address 1* |
|
| Address 2 |
|
| Address 3 |
|
| City* |
|
| State/Prov.(US/Canada) |
Required for US/Canada addresses only.
|
| Province |
|
| Zip/Postal Code* |
|
| Country* |
|
| Telephone Number* |
Extension
*US/Canada: Type only the area code and number - parentheses and dash will appear.
(e.g., 3016347195 will appear as (301)634-7195).
*International: Type the plus sign + country code and number, (e.g., +13016347195). |
| Fax Number |
|
| Email Address* |
For example, me@name.com |
| Institutional/Professional Web Address |
URL of the faculty, lab, or other web page best describing your work |
| |
| Professional Degree(s), Institution & Year (choose up to 3 starting with most recent degree) |
|
| |
| Trainee Sponsor Information* |
| All trainee members must include the name of their advisor (someone who can attest to your trainee status). Please select your sponsor among the current AAI active members list using the search box below: |
| Active AAI Member |
Search for Sponsor - To search for sponsor, please type in first 2 letters of last name. |
| If your advisor is not an AAI member, enter the name and email below: |
| Sponsor Name |
|
| Sponsor Email |
|
| |
|
|
| Primary Job Emphasis - Please select no more than 2. |
|
| |
| Area of Research/Expertise |
| Animals |
|
| |
| Diseases |
|
| |
| Systems/Processes |
|
| |
| Cells |
|
| Voluntary Demographics |
|
AAI is committed to ensuring a safe and welcoming environment for all members regardless of race, skin color, religion, national origin, gender, gender identity or expression, sexual orientation/preference, age, military or veteran status, marital status, or disability. To best serve our membership, we ask you to complete these basic demographic questions. Your answers are confidential, and will never be shared with third parties. Participation is voluntary.
|
| Date of Birth (MM/DD/YYYY) |
|
| Gender |
Male
Female
Prefer to identify as...
Prefer not to answer
|
| Ethnicity (U.S. Citizens / Permanent Residents ONLY) |
|
| |
| Additional Information (Voluntary) |
| How did you hear about AAI? |
|
| What is your primary reason for joining AAI? |
|
| |
| For assistance email: members@aai.org |
|
