American Academy of Family Physicians -- Strong Medicine for America
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Student Membership Application

 AAFP Membership Application  |  Name and Address Information
FirstMiddle(mm/dd/yyyy)State:Country:State:Students: Choose 'Home' above. Professional address is not required for students.Phone associated with preferred address is required.LastPrevious*Telephone:(if applicable)*= RequiredCity:*Home:* Name:Country:(mm/dd/yyyy)State:Level of Training (if still in training): Gender:Business:Country:(if not found)*Graduation Date:Degree:Zip: Fax:*Home Address:*E-Mail:Member Type:StudentProvince:Name of Institution/Program:*Medical:
Province:*Professional Address: Date of Birth:Zip:*Preferred mailing address:Source:City:City:

In submitting this application, I certify that the above information is correct and complete and do hereby agree to abide by the bylaws of the American Academy of Family Physicians and the bylaws of my constituent chapter. I understand that by providing my mailing address, e-mail address, telephone numbers, and fax number, I consent to receive communications sent by or on behalf of the AAFP (and its subsidiaries and affiliates) via regular mail, e-mail, telephone, or fax. I understand that the AAFP will not share my e-mail address, telephone number, or fax number with other organizations.

1. Students applying for student membership must be enrolled in medical or osteopathic school approved by an appropriate United States accrediting institution as defined by Academy's Commission on Education.
2. Membership terminates upon graduation. If you desire to maintain AAFP Membership, you must reapply for Resident status.

International Medical Students:

The AAFP offers a membership option tailored to meet your specific needs. To apply, please complete and submit the application above or you may download and submit an AAFP Student membership application. Please indicate your medical school name and address, as well as your contact information.