ACOG Website

Application for Educational Affiliate Membership in

The American Congress of Obstetricians and Gynecologists and

The American College of Obstetricians and Gynecologists

Please read before completing application

Requirements:

·         This category includes individuals with a Bachelor's degree, Master's degree, Ph.D., D.Sc. degrees, and RN.

·         Professional activities or affiliation within the field of obstetrics and/or gynecology or in the allied field in which the applicant is specialized

·         Realistic potential for contribution to programs or operations of ACOG

·         Provides patient care

Application Fee and Dues

Applicants are required to pay an application fee of $10.00 and annual dues of $215. This fee must be submitted with the application and is not refundable. Applications will not be processed until payment has been received. Payment may be made by the following credit cards: Visa, MasterCard or American Express.

ACOG Educational Affiliate Application


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