Preface

To be recognized as a participant in the Assembly of State and Regional Societies, a minimum of 90% of the organization’s Active or Life Active members must be ASPS Active or Life Active members.

To be recognized as a participant in the Assembly of National and Specialty Societies, a minimum of 90% of the organization’s Active or Life Active members must be ASPS Active or Life Active members, or the organization must otherwise be contractually affiliated with the Society.

Applications to join the Assembly of State and Regional Societies or the Assembly of National and Specialty Societies must be accompanied by the applicant organization’s roster of membership in the designated format below. If the applicant does not have Active or Life Active membership categories, the members of the applicant society entitled to vote at its annual business meeting shall be the controlling roster for comparison purposes in calculating whether the 90% threshold has been met with the respect to the applicant society. Please have your membership roster in an Excel file format ready to submit via email.

Note that while ASPS requires the email address of each member, we will use the email address only to resolve name conflicts between the name used in the applicant organization’s membership roster versus the ASPS roster. For example on the occasion where the member goes by first initial, full middle name, and last name in the ASPS system but uses the middle name as their first name in the applicant organization’s system. If both systems have the same email address, that is one way to determine that these seemingly different people are the same individual.

State and Regional Societies and National and Specialty Societies may have up to three voting delegates based on the number of ASPS Active or Life Active members in good standing within their organization at the time of their application. Each State and Regional Society and National or Specialty Society is entitled to at least one delegate; those with more than 250 ASPS Active and Life Active members are entitled to one additional delegate for each additional 250 ASPS Active and Life Active members up to a maximum of three delegates per society. (e.g., 1-250 members = 1 delegate; 251-500 members = 2 delegates; 501 or more members = 3 delegates.)

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* 1. Full Organization Name

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* 2. Organization's Presiding Officer

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* 3. Presiding Officer's email address

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* 4. Organization's Chief Staff Officer, if any

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* 5. Chief Staff Officer's Email

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* 6. Please acknowledge your understanding that ASPS will not cover the travel cost of the organization’s delegate(s) to in-person meetings of the Assembly. Note that the organization will be allowed to name a Designated Alternate(s) to substitute for their Official Delegate(s) for in-person meetings.

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* 7. Number of Active and Life Active members (or those entitled to vote in the organization’s annual business meeting) in the Applicant Organization

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* 8. Number of members who are Board-Certified Plastic Surgeons, if known

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* 9. Desired Assembly

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* 10. If the ASPS/PSF Board of Directors approves the Applicant Organization as a recognized participating group to the assembly requested above, please provide the name(s) of your organization’s delegate(s), if known. The deadline for providing the name(s) of your organization’s delegate(s) is May 31.  All recognized State and Regional Society and National and Specialty Society participating groups with 250 or less members are entitled to one (1) delegate who must be an ASPS Active member in good standing.

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* 11. Please acknowledge your understanding that your organization is required to annually certify that it continues to meet the eligibility criteria between March 1 and April 15

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