Member Join | American Society of Anesthesiologists (ASA)

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MemberJoinLabels.introduction = 'Welcome to the ASA membership application. Use this application to join ASA or reactivate a lapsed membership. If you encounter any difficulties, please utilize Live Chat during business hours, click on Get Help after hours, or call (630) 912-2552 M-F 7:30 a.m. – 4:30 p.m. (CT). Note: If you were a member within the past 3 years, you may have an unpaid membership invoice on record. Save time filling out this application by logging in and checking your My Account page before starting this form. '; MemberJoinLabels.itemsYouWillNeedTitle = 'List of items you will need'; MemberJoinLabels.itemsYouWillNeedContent = '<p> </p><ul> <li>Business name and address</li> <li>In-training applicants: home address</li> <li>National Provider Identification (NPI) number</li> <li>Medical School institution, start & end dates (mm/yyyy)</li> <li>Residency institution, start & end dates (mm/yyyy)</li> <li>Fellowship institution, start & end dates (mm/yyyy), if applicable</li> <li>Non-physician applicants: training institution information, start & end dates (mm/yyyy)</li> <li>State(s) licensed in, begin date (mm/yyyy)</li> <li>Board certificate and year certified</li> <li>If ABA or AOBA certified, ID number</li> <li>Sub-board certificate and year certified</li> <li>In-training applicants: program director/coordinator name and email address</li></ul><div> </div>'; MemberJoinLabels.stateComponentDuesTitle = 'About State and Component Dues'; MemberJoinLabels.stateComponentDuesContent = '<h3>U.S.-based physicians, Resident/Fellows</h3> <p> ASA bylaws require all ASA Active, Affiliate in the U.S., and Resident/Fellow members to be members of an ASA state component society. Active and Resident/Fellow members engaged in active duty military or military training programs will belong to the U.S.S.A. component society instead of a state society.</p> <h3>Resident/Fellows, Medical Students</h3> <p>All Resident/Fellow members will also belong to the Resident/Fellow Component Society. All Medical Student members will also belong to the Medical Student Component Society.</p> <h3>U.S.-based Non-Physician Care Providers, AA and NA Students, Medical Students</h3><p>U.S.-based Educational, Anesthesiologist Assistant, Educational Student, and Medical Student members may choose to belong to their state component society if that component society accepts them. Not all component societies accept these member types. If you see component dues on your membership order, you can opt out of state component membership by removing that dues item prior to paying.</p>'; MemberJoinLabels.bottomContent = '<p><a href="/member-center/membership-eligibility">What types of ASA memberships are available and how much does it cost</a></p><p><strong>Please note: ASA memberships expire on 12/31 and are on a calendar year. Dues are not pro-rated and are non-refundable.</strong></p>'; MemberJoinLabels.thankYouPage = '/member-join/thank-you'; MemberJoinLabels.submitApplication = 'Submit Application'; MemberJoinLabels.userAlreadyMemberContent = '<span>Visit your <a href="/member-center/my-account">My Account</a> page or contact <a href="mailto:info@asahq.org">Member Services</a> if you have questions about your membership.</span>'; MemberJoinLabels.userHasProformaContent = 'You do not need to join the ASA, as you already have an account or membership. Please <a href="/member-center/my-account/pay-balances">renew your dues</a> to maintain your membership or <a href="mailto:info@asahq.org">contact member services</a> if you have any questions.'; MemberJoinLabels.userAlreadyMember = { hi: 'Hi', alreadyAMember: ', you are a member of the ASA. Your membership type is:' } MemberJoinLabels.whatIsThis = 'What is this?'; MemberJoinLabels.hello = 'Hello'; MemberJoinLabels.applicationTitle = 'ASA Membership Application'; MemberJoinLabels.nextStep = 'Next Step'; MemberJoinLabels.nextPdfApplication = 'Next - Pdf Application'; MemberJoinLabels.back = 'Back'; MemberJoinLabels.step = 'Step'; MemberJoinLabels.userExists = { thisIsMe: 'This is me:', loginMessage: 'Log in using your primary e-mail address.', haveWeMet: 'Have we already met?', accountsWeThinkAreYou: 'We have accounts we think are you. 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deleteLicense: 'Delete License', startDate: 'Start Date', licenseInformation: 'License Information', licenseRequired: '1 license is required', npiNumber: 'NPI Number', state: 'State/Province', stateOfPrimaryPractice: 'State of Primary Practice', districtOfPrimaryPractice: 'Primary District', } MemberJoinLabels.step5 = { addFellowship: 'Add Fellowship', addAdditionalFellowship: 'Add Another Fellowship', agreements: 'Agreements', agreement1: 'I agree to the Guidelines of the Ethical Practice of Anesthesia', agreement2: 'I subscribe to the Anesthesia Care Team Statement', agreement3: 'I agree with the General Data Protection Regulation (GDPR) privacy and email rules', country: 'Country/Region', deleteFellowship: 'Delete Fellowship', endDate: 'End Date', fellowships: 'Fellowships', fellowshipType: 'Fellowship Type', fellowshipSubtype: 'Fellowship Subtype', institution: 'Institution', medicalSchool: 'Medical School', otherInstitution: 'Other Institution', programDirectorName: 'Program 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'Renew my Membership Automatically', Autorenewagreement: 'Never worry about missing out on benefits or paying your dues on time.', paymentErrors: { contactSupport: 'If you need assistance, please contact ASA support.', orderNumberIs: 'Your order number is: ', somethingWentWrong: 'Something went wrong', reenterCreditCardInfo: 'There was an error with your credit card number. Please re-enter the number.' } } MemberJoinLabels.earlyCareer = { modalKey: 'EarlyCareer', notEligible: 'you are not eligible for the early career membership program based on the education information entered in Step 5 of the online member join application.', programName: 'ASA Early Career Membership Program' } </script> <style> input[type="date"]::-webkit-inner-spin-button { display: none !important; } </style> </div> </div> </div><script type="text/javascript"> var MemberJoinFieldInfo = MemberJoinFieldInfo || {}; </script> <script type='text/javascript'> MemberJoinFieldInfo[''] = {}; </script> <script type='text/javascript'> MemberJoinFieldInfo['0'] = {}; </script> <script type='text/javascript'> MemberJoinFieldInfo['1'] = {}; </script> <script type='text/javascript'> MemberJoinFieldInfo['1']['EC_YEAR1'] = { title: '1st Year in Practice', description: 'You completed your residency and/or fellowship in 2023.', infoIconLabel: '' ? 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'' : 'What is this?', applicationType: '', enable: 'false' }; </script> <script type='text/javascript'> MemberJoinFieldInfo['5']['EarlyCareer'] = { title: 'ASA Early Career Membership Program Eligibility', description: '<p>Based on the information you provided, you are not eligible for the Early Career Membership Program. If you have questions, please contact Member Support at (630) 912-2552 M-F 7:30 a.m. – 4:30 p.m. (CT) or <a href="mailto:info@asahq.org" title="mailto:info@asahq.org">info@asahq.org</a></p>', infoIconLabel: '' ? '' : 'What is this?', applicationType: '', enable: 'false' }; </script> <script type='text/javascript'> MemberJoinFieldInfo['6'] = {}; </script> <script type='text/javascript'> MemberJoinFieldInfo['6']['AutoRenew'] = { title: 'Your Auto-Renewal Option', description: 'When you opt in to ASA’s membership auto-renewal feature, your ASA membership will automatically renew at the end of your membership period. 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