ESHG: Application for ESHG Trainee Membership

Application / Renewal / Update form for ESHG membership

Already a member or former member?
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You are invited to apply for ESHG membership and pay membership dues online:

ESHG Trainee Membership Options	1 year EJHG online access
ESHG Trainee Membership	EUR 40.-.-
ASHG Early Career Professional Membership add-on.	EUR 60.- in addition to the Trainee Membership Fee

Membership year is January 1 - December 31.
Membership dues are non-refundable.
Annual Meeting registration fees are NOT included in your dues payment.

Fields marked with * are required!

Salutation (Mr., Mrs., etc.)

First Name *

Middle Name

Family name *

Academic Title or Position (e.g. MD, PhD, etc.)

Suffix (e.g. Sr., Jr., III, etc.)

Please provide your Institution Information for the Member Directory:

Institution Name

Street Address*

Postal Code *

City *

Country *

Phone *

Fax

Website

Primary Email *

Please upload a document that proves that you are entitled to a trainee membership * (PDF or JPG)

Proof of Trainee Status:
Trainees are required to prove their status by submitting at least one of the items below as proof of their trainee status when applying for the ESHG membership.

Signed, dated letter from the director of your program on letterhead from the institution stating that you are currently one of the following:

a advanced-degree genetics professional in training as resident and clinical fellow
working as postdoctoral fellow
working towards a post-baccalaureate, master, professional, doctoral or doctorate degree
a student working toward a bachelor’s, first, ordinary or honours degree

Legible copy of an ID badge bearing your name, trainee status designation and future expiration date.

YES NO

I agree to be listed in the member directory on the ESHG website (restricted area for ESHG members) with name and work address. *

YES NO

I agree to receive the ESHG Newsletter. *

I have read and agree to the Statutes of the European Society of Human Genetics. I acknowledge that the membership fee is paid in advance for the current membership year and is non-refundable. By becoming a member I acknowledge the ESHG Data Protection Policy. *

Statistical Data Survey among ESHG members

We ask for your gender and the following information to help us provide better and more personalised services to you. Your gender information will be kept confidential and will not be shared with third parties without your consent.

1. Gender *

2. How long have you been working in Genetics? *

3. What is the highest academic degree you have completed? *

4. What is your profession?

5. What are your current activities in Human Genetics? (Choose up to 2) *

6. Which research discipline is closest to your primary interest? (Choose up to 2) *

7. In which field(s) of medicine do you perform your professional activity? (Choose up to 2) *

The European Society
of Human Genetics

Application for ESHG Trainee Membership

Application / Renewal / Update form for ESHG membership

ESHG Trainee Membership Options

Membership year is January 1 - December 31.
Membership dues are non-refundable.
Annual Meeting registration fees are NOT included in your dues payment.

Please provide your Institution Information for the Member Directory:

YES NO

I agree to be listed in the member directory on the ESHG website (restricted area for ESHG members) with name and work address. *

YES NO

I agree to receive the ESHG Newsletter. *

Statistical Data Survey among ESHG members

Payment

User login

Membership

Application for ESHG Trainee Membership

ESHG Trainee Membership Options

Membership year is January 1 - December 31. Membership dues are non-refundable. Annual Meeting registration fees are NOT included in your dues payment.

Please provide your Institution Information for the Member Directory:

YES NO I agree to be listed in the member directory on the ESHG website (restricted area for ESHG members) with name and work address. *

YES NO I agree to receive the ESHG Newsletter. *

Statistical Data Survey among ESHG members

Payment

User login

Membership

Membership year is January 1 - December 31.
Membership dues are non-refundable.
Annual Meeting registration fees are NOT included in your dues payment.

YES NO

I agree to be listed in the member directory on the ESHG website (restricted area for ESHG members) with name and work address. *

YES NO

I agree to receive the ESHG Newsletter. *