Senior Member Reference Form

OSA Senior Member Reference Form

*Important: You will receive a confirmation email upon submitting a Senior Member endorsement statement. If you do not receive an email, please contact:

If you have been asked to complete a Senior Member Reference Form, you may use the online reference form below.

Please note: You must have an active OSA Membership in order to serve as a reference. If you are not yet an OSA Member, you can enroll online.

Senior Membership provides well-established individuals with the opportunity to request a designation that recognizes their experience and professional accomplishments and/or service within their field.

OSA Senior Member requests are reviewed once a year. The next round of Senior Member applications will be reviewed June 2016. Complete applications are due no later than 29 February of this year.

Your Information



Optional: If you would like to send additional reference materials about the candidate, please submit them electronically or by mail.

Fax: +1.202.416.6130
Mail: OSA Membership Department
2010 Massachusetts Ave NW
Washington, DC 20036 USA