Free Student Membership Application

In the spirit of building the next generation, AMSUS is reaching out to federal health professions students. AMSUS is now offering medical students at the Uniformed Services University (USU), and those sponsored in civilian medical schools under the Armed Forces Health Professions Scholarship Program (HPSP) or the National Health Service Corps scholarship program (NHSC) one free year of membership* for those students who are not currently AMSUS members. Graduate, post-graduate, doctoral etc pursuits that are not part of a federal program are not eligible for this free student membership program.

Complete the form below to activate your free membership. Once enrolled, student members will begin receiving the monthly journal, Military Medicine, and will have access to all member benefits for one year* from the date of application. At the end of the free membership period, students will be billed at the appropriate rate: Student Membership* currently $27; Active Membership currently $60. Please extend this offer to any eligible students that you know.

*Offer not to extend beyond graduation date.

Personal Information
First Name:
 MI:
 Last Name:
SSN (last 4 digits):
XXX - XX - 		Date of Birth:
Rank:
 Corps:
 Service/Agency:

Academic Information
School:
Degree Achieving:
 Program:
 Graduation Date:

Contact Information
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 Zip+4 Code:
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