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Associate Member Application

Membership Criteria: You must have basic or clinical science research scientists, allied health practitioners, mid-level providers in related disciplines involving diabetic or nondiabetic limb salvage management

Submission Criteria:

  • Complete and submit online or download, sign and send to info@isttt.org

  • One signed letter or email of sponsorship from the current ISTTT active board member

  • Current Curriculum Vitae

  • Digital color professional photo

  • Membership dues: $100 USD

Download Application:

Degree
PhD
MS
PT
NP
PA
CO
CPO
Other
Gender
Male
Female
Prefer not to Answer
Race / Ethnicity
Asian
Black / African
Hispanic / Latino
Middle Eastern / North African
White
None of the Above
Prefer not to Answer
Practice / Work Setting
Solo Practice
Singe-Specialty Group
Multi-Specialty Group
Full-Time Employee of Medical School / University
Other
Office Contact Information
Personal Contact Information
Colleague Contact: ISTTT members can log in to the members-only section of the website to find colleagues’ contact information, including work address, email address, and phone numbers, unless the member has chosen not to share them.
Education & Training
Professional Experience
Are You Involved in Teaching?
Yes
No
Sponsorship

A current ISTTT active board member must provide a signed letter or email of sponsorship to info@isttt.org on your behalf.

I confirm that the information provided in this application is true and accurate. I understand that by submitting this application, I give ISTTT written permission to make inquiries and conduct any investigation necessary to verify my credentials.

Please submit the application and other application material identified in the submission requirement checklist  to info@isttt.org.


Upon receipt of all application requirements, your documents will be reviewed by the ISTTT board and then your name will be presented for final approval to the board of directors. You will be informed of the review progress as it proceeds and notified when our membership has been approved. At that time, your due notice and link for payment
will be sent and your member benefits will begin.

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