AAGS Committee Self Nomination 
Thank you for your interest in joining an AAGS Committee!

Please indicate your membership category and select your committee nomination. Membership categories are defined below.

Active: Active membership is for those:
- At institutions with surgical training program, who are involved or interested in creating an Academic Global Surgery program. Must be board certified  or equivalent by the credentialing or standards, body in their country of practice. 
- Anyone who actively participates in or supports Academic Global Surgery work, but does not fit into the other AAGS membership categories. For example, physician extenders, program managers, coordinators, administrators, or those involved in allied professions, social sciences, non-surgical fields, or non-medical fields. (Please note the Affiliate committee will be changed to Active Non-Physician pending a constitution procedural vote)

Associate: Associate Membership is for surgical residents, trainees, clinical officers, house officers, fellows, or registrars interested in pursuing Academic Global Surgery.

Student: For students, from medicine to global health who are interested in pursuing Academic Global Surgery.

You can rank up to three committees you would like to join.
 

**Your dues must be current to be considered for election.

Not an AAGS member yet? Join us: bit.ly/AAGSJoin

More info on Committee descriptions and goals can be found on section 2 of this form.

If you have any questions, reach out at academicglobalsurgery@gmail.com.

AAGS Executive Committee
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