To apply for membership complete the form below and submit it to the Admissions Committee. You may also download the form and mail it to the ACE office at:
ACE Admissions 1500 Sunday Dr. Ste 102, Raleigh, NC 27607 All FIELDS ARE REQUIRED TO PROCESS APPLICATIONS
ACE Admissions 1500 Sunday Dr. Ste 102, Raleigh, NC 27607
Date of application (mo/day/yr ):
Please indicate your membership request:
I am not currently an ACE member
I am a former ACE member requesting promotion
Female Male
Race
American Indian/ Native American / Alaskan Native/ First Nation
Asian/ Asian American/ Pacific Islander
Black/ African American/ African
Hispanic/Latino/ Latin American
White/European/ Middle Eastern
Other (specify)
Areas of Research Expertise (Check all that apply)
Preferred Address:
Street:
City: State: Zip: Country:
Daytime Phone: Fax:
Email Address:
Current Employment:
Position/Title: Employer:
Training:
PhD in Epidemiology
Relevant doctorate and masters degree in epidemiology
Relevant doctorate and 2 years supervised fellowship or postdoc in epidemiology
Relevant doctorate and sustained experience in epdemiology
Training details (dates of degrees and fellowships, specializations, institutions relevant to "Training" specified above):
Please note a seperate window will open! This will send your c.v. only. You must hit the submit button below to submit the application.
