Application for Associate Member in
The American Congress of Obstetricians and Gynecologists and
The American College of Obstetricians and Gynecologists
Please read before completing application
1. A physician, within the geographic confines of the Congress, who has given valuable service in obstetrics and/or gynecology and who is not eligible to be a Fellow or Junior Fellow, subject to these additional qualifications:
· Successful completion of an examination, or certification, by a board other than those recognized by ACOG as a qualification for Fellow status; or
· Possession of an advanced degree with significant contributions in women’s health. Each application will be evaluated on a case-by-case basis.
2. Applicants must possess an unrestricted license to practice medicine and surgery in each state, jurisdiction or country where the applicant is licensed.
Applicants are required to pay an application fee of $335.00. This fee must be submitted with the application and is not refundable. Applications will not be processed until the application fee has been received. Payment may be made by the following credit cards: Visa, MasterCard or American Express.
Please read the bylaws of ACOG and The American College of Obstetricians and Gynecologists, and the Code of Professional Ethics (Click to view) before completing the application. Applicants must provide their medical license(s), and if board-certified, their board’s certificate with the application. These documents should be scanned to a computer and electronically uploaded with the application. We accept documents with a file extension of .pdf, .png, .doc or .docx, .tif, jpeg, or .jpg. No other file extension types are allowed.
Processing time can take up to four(4) months if the application is complete.