ANZSCMFS MEMBERSHIP

If you would like to be considered for membership with our society, complete the application form below.

*Active members shall be legally qualified, practicing surgeons who are active in craniofacial surgery in Australia or New Zealand, who shall have made worthwhile contributions in this field, and who meet the requirements for Active membership according to the Constitution of the Society*

Application for Active Membership

First and last name

Address line 1

Address line 2

Suburb / State / Postcode

Country

Phone

Email

Website

Date of Birth

Qualifications

Training Institution, Director and contact details

If YES, pease specify loacions

If YES, pease specify

Name of Key sponsor and contact email (must have been a member for a min of 3 years)

Name of Co-sponsor and contact email (must have been a member for a min of 3 years)

Thank you for submitting your application. Please email the required documents for your application within 24 hours (refer to the information below).

IMPORTANT ATTACHMENTS TO YOUR APPLICATION FORM

It is a requirement of Active membership that you submit in typed form:

A list of the surgical operations that you have performed in the two years preceding this application.
A percentage of these should be of the intracranial type (see Appendix A).
A list of members of your clinical team(s) for the two-year period preceding this application.
A list of your publications and scientific contributions – at least two papers are to be on the subject of craniofacial surgery.
A current copy of your full Curriculum Vitae.

Once you have completed the application form, please ensure the above items are emailed to: membership@plasticsurgery.org.au