Southeast ACSM Emeritus Application

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Members are eligible for Emeritus status if they:

1) retire from an SEACSM institution as an SEACSM member, or

2) are an ACSM emeritus member who relocates to the southeast region.

Please complete this application if you are interested in Emeritus status SEACSM. If you meet requirements, you are automatically approved. New Emeritus members will be announced at the next SEACSM Annual Meeting. Emeritus members will receive free membership to SEACSM.

Name (last, first) *

Street Address *

City *

State *

Zip Code *

email address *

Phone Number (numbers only)

Which institution did you retire from?

List the years you were a professional member of SEACSM *

Are you an ACSM Emeritus member? *

Yes

Not sure

Present Age *

Year of your retirement *

Submit

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