AARS New Membership Application

Please complete the membership application below. Upon submission, you will be granted temporary membership. After you have been approved, you will receive a welcome kit at the shipping address you specify.

If you are looking to renew your existing AARS membership, you will need to log in first.

If you have any questions about the application or membership, please contact us by phone at (888) 744-3376 or by email at info@aarsmember.org.

1 Membership Page 1

2 Applicant Info Page 2

3 Additional Info Page 3

4 Payment Page 4

Please select a membership level below.

Fellow Fellow $ 150.00 Annual Due US Physician/Dermatologist	Eligible to any physician who is a resident of the United States and who is certified by (i) the American Board of Dermatology or (ii) the American Osteopathic College of Dermatology or who has training approximately equivalent to the requirements for certification by the American Board of Dermatology.
Associate Associate $ 150.00 Annual Due Non‐US Physician / Other Specialty	Eligible to any non‐U.S. physician involved in dermatology either through clinical practice, teaching, research, or industry.
Affiliate Affiliate $ 100.00 Annual Due Nurse, Nurse Practitioner, Physician Assistant	Eligible to any non‐physician with a degree in a scientific discipline or allied health professional with involvement in dermatology that is employed by either a medical school, government organization or by a physician Fellow or Associate of AARS.
Industry Industry $ 150.00 Annual Due Non-Physician / Healthcare Professional	Eligible to any non‐physician with a degree in a scientific discipline or allied health professional with involvement in dermatology that is employed either by a public organization, pharmaceutical company or cosmetic firm.
Resident Resident $ 50.00 Annual Due Dermatology Resident	Eligible to any dermatology resident in good standing in training at any approved training center.

Applicant Details

First Name *

Last Name *

Email Address *

Degree *

Title

Institution/Company

Department

Phone *

Fax

Shipping Information

We will mail your AARS Membership packet to this address.

Street Address *

Supplemental Address 1

City *

State *

Zip Code *

Country *

Account Details

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Username Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Password

Confirm Password

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Certification

Please enter the certification dates of any of the certifications that you have received.

American Board of Dermatology

American Osteopathic College of Dermatology

American Academy of Pediatrics

Equivalent Board Description

If you have training approximately equivalent to the requirements for certification by the American Board of Dermatology, please describe the details.

Letter of Endorsement

Please attach a letter of endorsement from an AARS Fellow or Associate.
If you plan on sending the letter of endorsement in by mail, email or fax, please check the "Send by Mail/Fax" checkbox.

Click to Upload Letter of Endorsement

If you are a Resident applicant, the letter of endorsement should be from your Program Trainer Chair or Director.

I will be sending the Letter of Endorsement by mail, email or fax.

Education Details

Please enter the details of any education or training you have received.

Undergraduate Education

Degree

Year