Thank you for your interest in the APS Sponsored Membership Program

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* 1. Please provide the following information

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* 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


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

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

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

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

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

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* 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.

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* 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.

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