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OSA Member #:
(if known) |
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*First Name: |
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*Last Name: |
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*Email Address: |
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Year joined OSA:
(if known) |
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*Curriculum Vitae (CV)
Please upload your curriculum vitae below.
Please include:
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Academic history
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Professional experience
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Awards and/or Honors
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Publications
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Patents
Upload CV - You can upload a .txt, .doc, .docx or .pdf file
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*Contributions and Achievements
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Professional Highlights - (4000 Character Maximum) Please provide a listing of your key professional achievements during the past 10 (or more) years. Feel free to forward supplemental documents using the contact information listed on the next screen. |
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Volunteer/Professional Society Activities - (4000 Character Maximum)Please list the professional organizations you belong to and the volunteer activities that you have taken part in. You may forward a separate document using the contact information listed on the next screen. |
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References
Brief endorsement statements from two current OSA Members are required. Each Senior Member applicant is to ask their references to complete an online referral form. Please note, the deadline for referral forms is the end of February for the May review.
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Reference #1 |
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*Name: |
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*Email: |
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Reference #2 |
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*Name: |
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*Email: |
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