Thank you for your interest in the APS Sponsored Membership Program

Please provide the following information

Question Title

* 1. Please provide the following information

Please type your full contact information including all of the following:
(1) Name of institution
(2) street address
(3) city
(4) country
(5) email address
(6) phone number, including country code


Question Title

* 2. Please type your full contact information including all of the following:
(1) Name of institution
(2) street address
(3) city
(4) country
(5) email address
(6) phone number, including country code


What is your job title? (Choose the one best option)

Question Title

* 3. What is your job title? (Choose the one best option)

What is your topic of work? Please check all that apply

Question Title

* 4. What is your topic of work? Please check all that apply

How would a 2-year sponsored membership to APS benefit you? (less than 100 words)

Question Title

* 5. How would a 2-year sponsored membership to APS benefit you? (less than 100 words)

How would you use a 2-year sponsored membership to APS to benefit others? (less than 100 words)

Question Title

* 6. How would you use a 2-year sponsored membership to APS to benefit others? (less than 100 words)

What are your future career goals in plant pathology? (less than 100 words)

Question Title

* 7. What are your future career goals in plant pathology? (less than 100 words)

If you have an M.S. (Masters Degree) or Ph.D. (Doctor of Philosophy) please tell us when you earned those degrees. Otherwise leave this blank.

Question Title

* 8. If you have an M.S. (Masters Degree) or Ph.D. (Doctor of Philosophy) please tell us when you earned those degrees. Otherwise leave this blank.

Thank you for your application to the Sponsored Membership Program. Please enter the date and time, and then click the "Done" button below to submit your information.

Question Title

* 9. Thank you for your application to the Sponsored Membership Program. Please enter the date and time, and then click the "Done" button below to submit your information.

Date / Time

T